Individual
JOLENE M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8160 HIGHLAND DR STE 206, SANDY, UT 84093-7403
(801) 943-6582
(801) 733-4007
Mailing address
8160 HIGHLAND DR STE 206, SANDY, UT 84093-7403
(801) 943-6582
(801) 733-4007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
132116-3501
UT
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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