Individual
MICHELE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3225 MCLEOD DR STE 100, LAS VEGAS, NV 89121-2257
(702) 799-0338
Mailing address
3225 MCLEOD DR STE 100, LAS VEGAS, NV 89121-2257
(702) 879-9033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8450-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760930580
—
NV
Enumeration date
09/21/2016
Last updated
02/22/2024
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