Individual
E. GUERRY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCW
Contact information
Practice address
194 S MAIN ST, PLEASANT GROVE, UT 84062-2631
(801) 785-1169
(801) 785-1154
Mailing address
819 E 50 S, PLEASANT GROVE, UT 84062-4519
(801) 319-6787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3246413501
UT
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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