Individual
AMANDA JOY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 GEORGE DIETER DR, EL PASO, TX 79936-7420
(915) 320-1390
Mailing address
1390 GEORGE DIETER DR, EL PASO, TX 79936-7420
(915) 320-1390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110992
TX
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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