Individual
MRS. KATHERINE ELLEN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(907) 375-2129
(907) 257-6759
Mailing address
16941 YELLOWSTONE DR, EAGLE RIVER, AK 99577-9492
(907) 952-8761
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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