Individual
ANGELA SUE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
438 SOUTHGATE AVE, IOWA CITY, IA 52240-4425
(319) 351-4357
Mailing address
601 SYCAMORE ST, TIPTON, IA 52772-1653
(608) 885-0393
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01864
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000-00-0000
NO NUMBERS
—
Enumeration date
01/05/2021
Last updated
07/17/2024
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