Individual
TIMOTHY FRANCIS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9323
Mailing address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9323
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13864
SC
1041C0700X
Clinical Social Worker
Primary
15765
SC
Other
Enumeration date
04/08/2020
Last updated
03/11/2023
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