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Individual

MS. RIKKELL GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W

Contact information

Practice address
1800 W FARWELL AVE, APT. 3A, CHICAGO, IL 60626-3141
(773) 234-3316
Mailing address
1800 W FARWELL AVE, APT. 3A, CHICAGO, IL 60626-3141
(773) 234-3316

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
2288992
IL

Other

Enumeration date
06/25/2014
Last updated
06/25/2014
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