Individual
MS. HEATHER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
625 E 8400 S, LDS FAMILY SERVICES, SANDY, UT 84070
(801) 566-2556
(801) 566-2639
Mailing address
9741 SWEET BLOSSOM DR, SOUTH JORDAN, UT 84095-3217
(801) 403-5854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4804642-3501
UT
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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