Individual
MRS. STEPHANIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
333 IRVING AVE, BRIDGETON, NJ 08302-2123
(856) 575-4144
Mailing address
333 IRVING AVE, BRIDGETON, NJ 08302-2123
(856) 575-4144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05571600
NJ
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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