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Individual

MS. JEWEL GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LICSW, LCSW-C

Contact information

Practice address
5247 WISCONSIN AVE NW, NO. 3, 2ND FLOOR, WASHINGTON, DC 20015-2012
(202) 270-6519
Mailing address
4201 31ST ST S, STE. 508, ARLINGTON, VA 22206-4916
(202) 270-6519

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904005671
VA
1041C0700X
Clinical Social Worker
12126
MD
1041C0700X
Clinical Social Worker
Primary
LC50077848
DC

Other

Enumeration date
11/21/2006
Last updated
07/08/2007
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