Individual
CASEY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W. U/S
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-2700
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5684
OK
Other
Enumeration date
06/23/2014
Last updated
03/17/2018
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