Individual
NICOLE LYNN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3329 75TH ST # 200, WOODRIDGE, IL 60517-2700
(630) 964-9400
Mailing address
3329 75TH ST # 200, WOODRIDGE, IL 60517-2700
(630) 964-9400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150114015
IL
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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