Individual
TERESA GREEN
Active
Individual
TERESA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11568
MD
1041C0700X
Clinical Social Worker
Primary
LC303558
DC
1041S0200X
School Social Worker
—
—
Other
Enumeration date
10/17/2007
Last updated
02/14/2025
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