Individual
ELIZABETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
250 CUSHMAN ST STE 2G, FAIRBANKS, AK 99701-4665
(907) 251-5775
Mailing address
250 CUSHMAN ST STE 2G, FAIRBANKS, AK 99701-4665
(907) 251-5775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140001
AK
Other
Enumeration date
08/26/2019
Last updated
07/31/2023
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