Individual
MS. KESHA GREEN
Active
Individual
MS. KESHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMF, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW #25186
MN
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/28/2013
Last updated
02/10/2017
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