Individual
JOANNA MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805
(218) 786-8364
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
16942
MN
Other
Enumeration date
05/26/2010
Last updated
08/27/2018
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