Individual
CLAUDE GREENE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
38 KELLEY ST, BRISTOL, CT 06010-5715
(860) 314-1236
Mailing address
565 CLARK AVE APT 75, BRISTOL, CT 06010-4055
(203) 535-7350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11850
CT
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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