Individual
MS. KATHERINE HARRIET GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
231 HATTON STREET, PORTSMOUTH, VA 23704
(757) 393-6638
Mailing address
1608 MCDANIEL ST, PORTSMOUTH, VA 23704-1729
(757) 399-4045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005360
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
VA
Enumeration date
09/20/2006
Last updated
07/09/2007
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