Jacqualyn F. Green PH.D.

NPI 1093861932 - Social Worker - 1041C0700X

NPI Details
NPI 1093861932
Gender Female
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4755 KINGSWAY DR STE 308
INDIANAPOLIS IN, 46205-1571, US
Phone (317) 257-6773
Fax (317) 863-1414
Business Location
4755 KINGSWAY DR STE 308
INDIANAPOLIS IN, 46205-1571, US
Phone (317) 257-6773
Fax (317) 863-1414
Toxanomy
Taxonomy Code 1041C0700X
License State Indiana
License Number 34000712A
Remove 1093861932 NPI Number
 

According to our database, Dr. Jacqualyn F. Green PH.D. NPI is 1093861932, taxonomy code is 1041C0700X and license number is 34000712A, license state is located at Indiana. Jacqualyn F. Green PH.D. physically located at 4755 Kingsway Dr Ste 308, Indianapolis IN, 46205-1571. NPI Number Jacqualyn F. Green PH.D. has the Individual type.

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1093861932 NPI number is provided on an as is basis without warranty of any kind. 1093861932 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqualyn F. Green PH.D. are for informational purposes only.