Individual
STEPHANIE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 BULLSNAKE ROAD, EL PRADO, NM 87529
(541) 357-2205
Mailing address
PO BOX 838, EL PRADO, NM 87529-0838
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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