Individual
BARBARA L GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 BURGESS DR, SUITE 150, MENLO PARK, CA 94025-3442
(312) 405-0041
Mailing address
62 LOYOLA AVE, MENLO PARK, CA 94025-3811
(312) 405-0041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24907
CA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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