Individual
JOHN CHRISTOPHER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
14421 SUMMIT DR, CLIVE, IA 50325-7743
(904) 294-1764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118677
IA
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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