Individual
CLAUDELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4209 ROUTE 516, MATAWAN, NJ 07747-7026
(732) 290-3900
Mailing address
40 CARLISLE CT, OLD BRIDGE, NJ 08857-2778
(732) 221-8490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SCC05645500
NJ
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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