Individual
MRS. MIKAYLA C GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
370 LINWOOD ST, NEW BRITAIN, CT 06052-1949
(860) 832-5574
Mailing address
370 LINWOOD ST, NEW BRITAIN, CT 06052-1949
(860) 832-5574
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000608
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2013
Last updated
01/14/2015
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