Individual
SHERRY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LBS
Contact information
Practice address
708 E SHARPNACK ST, PHILADELPHIA, PA 19119-1535
(215) 528-2927
Mailing address
PO BOX 828, GLENSIDE, PA 19038-0828
(215) 528-2927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BH000155
PA
103K00000X
Behavior Analyst
BH000155
PA
104100000X
Social Worker
Primary
BH000155
PA
1041C0700X
Clinical Social Worker
BH000155
PA
1041S0200X
School Social Worker
BH000155
PA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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