Individual
VERLON JEAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
627 JEFFERSON ST, INDIANOLA, MS 38751-3349
(662) 207-3557
Mailing address
627 JEFFERSON ST, INDIANOLA, MS 38751-3349
(662) 207-3557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8144
MS
Other
Enumeration date
03/20/2019
Last updated
04/02/2025
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