Individual
PAMELA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15439 W LEA LN, SURPRISE, AZ 85374-4806
(623) 556-3805
Mailing address
15439 W LEA LN, SURPRISE, AZ 85374-4806
(623) 556-3805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-14074
AZ
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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