Individual
ASHLEY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6206 RANIER CIR, PORT ORANGE, FL 32127-9520
(386) 898-3486
Mailing address
6206 RANIER CIR, PORT ORANGE, FL 32127-9520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13867
FL
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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