Individual
DIANA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2733 LYNDHURST AVE, WINSTON SALEM, NC 27103-4107
(336) 682-1266
Mailing address
2733 LYNDHURST AVE, WINSTON SALEM, NC 27103-4107
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012203
NC
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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