Individual
AMY JO GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1375 COMMERCE DR, NEW LEXINGTON, OH 43764-9511
(740) 454-9766
(740) 588-6452
Mailing address
6225 FRAZEYSBURG RD, NASHPORT, OH 43830-9651
(740) 452-0199
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0015240
OH
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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