Individual
PATTI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4900
(907) 228-5256
Mailing address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4900
(907) 228-5256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
336
AK
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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