Individual
DESTINY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW US
Contact information
Practice address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 921-3200
(918) 560-1399
Mailing address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 921-3200
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20588
OK
1041C0700X
Clinical Social Worker
20588
OK
Other
Enumeration date
10/26/2020
Last updated
12/02/2025
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