Individual
AUDREY GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
110 MANLY ST, GREENVILLE, SC 29601-3025
(864) 298-8026
Mailing address
110 RED ROCK LN, TAYLORS, SC 29687-5483
(864) 982-1095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9629
SC
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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