Individual
MRS. ANITRA JEANETTE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
86 PEYTON ST, DOVER, DE 19901-5297
(484) 840-3354
Mailing address
86 PEYTON ST, DOVER, DE 19901-5297
(484) 716-0336
(610) 497-7588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW124588
PA
1041C0700X
Clinical Social Worker
CW017687
PA
1041C0700X
Clinical Social Worker
Primary
Q1-0011897
DE
Other
Enumeration date
10/10/2006
Last updated
02/04/2022
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