Individual
BRANDY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
275 W 200 N, LINDON, UT 84042-5009
(385) 440-1242
Mailing address
141 N 950 E, PLEASANT GROVE, UT 84062-2988
(801) 850-3531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12359414-3501
UT
1041C0700X
Clinical Social Worker
12359414-3502
UT
1041C0700X
Clinical Social Worker
12359414-3503
UT
Other
Enumeration date
08/10/2023
Last updated
09/23/2025
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