Kristal Deshee Green LCSW

NPI 1134248248 - Social Worker - 1041C0700X

NPI Details
NPI 1134248248
Gender Female
Enumeration Date 03/28/2007
Last Updated 02/25/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
439 W 97TH ST
LOS ANGELES CA, 90003-3968, US
Phone (323) 754-2856
Fax
Business Location
439 W 97TH ST
LOS ANGELES CA, 90003-3968, US
Phone (323) 754-2856
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS 25207
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According to our database, Miss Kristal Deshee Green LCSW NPI is 1134248248, taxonomy code is 1041C0700X and license number is LCS 25207, license state is located at California. Kristal Deshee Green LCSW physically located at 439 W 97th St, Los Angeles CA, 90003-3968. NPI Number Kristal Deshee Green LCSW has the Individual type.

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1134248248 NPI number is provided on an as is basis without warranty of any kind. 1134248248 is maintained by the National Plan & Provider Enumeration System. The contents of Kristal Deshee Green LCSW are for informational purposes only.