Individual
JESSICA SHANTE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1208 E CHURCHVILLE RD STE 300, BEL AIR, MD 21014-3485
(410) 893-4600
Mailing address
950 S GEORGE MASON DR APT 714, ARLINGTON, VA 22204-1864
(706) 329-7050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0903003712
VA
104100000X
Social Worker
Primary
30282
MD
104100000X
Social Worker
MSW010482
GA
Other
Enumeration date
06/12/2023
Last updated
06/30/2023
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