Individual
MR. CHRISTOPHER J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
603 BRUCE ST, CROOKSTON, MN 56716-2914
(218) 289-6081
(218) 281-6261
Mailing address
603 BRUCE ST, CROOKSTON, MN 56716-2914
(218) 289-6081
(218) 281-6261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18356
MN
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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