Individual
JACQUELYN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
544 GREENBLADES CT, ARNOLD, MD 21012-1966
(443) 994-1633
Mailing address
544 GREENBLADES CT, ARNOLD, MD 21012-1966
(443) 994-1633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18424
MD
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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