Individual
GERALDINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
420 7TH ST, RACINE, WI 53403-1222
(262) 634-2391
(262) 634-5342
Mailing address
PO BOX 639, THIENSVILLE, WI 53092-0639
(414) 247-9005
(414) 247-9004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WI
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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