Individual
JULIANNA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
302 N BAYBERRY PKWY PH, MIDDLETOWN, DE 19709-9841
(914) 843-2259
Mailing address
302 N BAYBERRY PKWY PH, MIDDLETOWN, DE 19709-9841
(914) 843-2259
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
098080
NY
1041C0700X
Clinical Social Worker
Primary
090125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098080
—
NY
Enumeration date
06/01/2017
Last updated
01/25/2022
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