Individual
CLIFFORD CHILDS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LCSW
Contact information
Practice address
2211 ALA WAI BLVD APT 2101, HONOLULU, HI 96815-2405
(808) 256-6119
Mailing address
2211 ALA WAI BLVD APT 2101, HONOLULU, HI 96815-2405
(808) 256-6119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW-2093
HI
1041C0700X
Clinical Social Worker
Primary
LCSW-4581
HI
Other
Enumeration date
02/05/2014
Last updated
09/04/2020
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