Individual
MRS. ANITA KAY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
903 S KINGSHIGHWAY ST, SIKESTON, MO 63801-4415
(573) 472-2139
(573) 472-6457
Mailing address
903 S KINGSHIGHWAY ST, SIKESTON, MO 63801-4415
(573) 472-2139
(573) 472-6457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001920
MO
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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