Individual
SEAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
655 S ASH AVE, TEMPE, AZ 85281-2812
(480) 858-2143
Mailing address
PO BOX 5002 MAIL STOP 1602, TEMPE, AZ 85280
(480) 858-2143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-19571
AZ
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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