Individual
SHARON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6100 E MAIN ST, FARMINGTON, NM 87402-3034
(505) 326-7878
Mailing address
401 E MOJAVE ST, FARMINGTON, NM 87401-6830
(505) 947-8818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
X-09690
NM
1041C0700X
Clinical Social Worker
Primary
X-11439
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-0431989
—
NM
Enumeration date
08/15/2016
Last updated
07/19/2022
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