Individual
MRS. ANGELA W GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CAC I
Contact information
Practice address
9711 DAVID TAYLOR DR APT 204, CHARLOTTE, NC 28262-2370
(980) 949-6846
Mailing address
115 N HARVIN ST, 3RD FL., SUMTER, SC 29150-4956
(803) 775-6815
(803) 773-6232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1211202
SC
1041C0700X
Clinical Social Worker
9380
SC
Other
Enumeration date
02/01/2013
Last updated
07/15/2020
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