Individual
MRS. BERDONNA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWT, CDCA
Contact information
Practice address
5151 MONROE ST, TOLEDO, OH 43623-3462
(419) 475-4449
(419) 479-3832
Mailing address
5151 MONROE ST, TOLEDO, OH 43623-3462
(419) 475-4449
(419) 479-3832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
110040
OH
104100000X
Social Worker
S 1400017-TRNE
OH
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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