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Individual

CONSTANCE J GREEN-FRITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
114 ORCHARD VIEW DR, DOUGLASSVILLE, PA 19518-9237
(610) 310-9109
(484) 762-5288
Mailing address
114 ORCHARD VIEW DR, DOUGLASSVILLE, PA 19518-9237
(610) 310-9109
(484) 762-5288

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017766
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1200051
CAQH
01
1952634388
NPI
PA
Enumeration date
09/17/2009
Last updated
10/10/2024
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