Individual
MS. KESHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMF, LICSW
Contact information
Practice address
3300 COUNTY ROAD 10, SUITE 304I, BROOKLYN CENTER, MN 55429-3072
(763) 355-5461
(763) 355-5692
Mailing address
3300 COUNTY ROAD 10, SUITE 304I, BROOKLYN CENTER, MN 55429-3072
(763) 355-5461
(763) 355-5692
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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