Individual
JAMIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 28TH ST, PORTSMOUTH, OH 45662-2641
(419) 999-2010
(419) 999-6284
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3583
(419) 999-2010
(419) 999-6284
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1201225
OH
Other
Enumeration date
06/08/2022
Last updated
04/21/2023
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