Individual
ANGELA S GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
712 W 3RD ST, LITTLE ROCK, AR 72201-2220
(501) 379-4246
(501) 379-4248
Mailing address
712 W 3RD ST, LITTLE ROCK, AR 72201-2220
(501) 379-4246
(501) 379-4248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2216-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2216-C
ARK DEPT OF HEALTH SOCIAL WORK LICENSING BOARD
AR
Enumeration date
03/16/2020
Last updated
03/16/2020
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