Tara Elizabeth Green CSW

NPI 1265728265 - Social Worker - 1041C0700X

NPI Details
NPI 1265728265
Gender Female
Enumeration Date 06/28/2011
Last Updated 06/28/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1303 W NOEL AVE
MADISONVILLE KY, 42431-1166, US
Phone (270) 821-8874
Fax
Business Location
437 SOUTHSIDE DR
HENDERSON KY, 42420-3845, US
Phone (270) 860-8667
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Kentucky
License Number 6082
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According to our database, Ms. Tara Elizabeth Green CSW NPI is 1265728265, taxonomy code is 1041C0700X and license number is 6082, license state is located at Kentucky. Tara Elizabeth Green CSW physically located at 1303 W Noel Ave, Madisonville KY, 42431-1166. NPI Number Tara Elizabeth Green CSW has the Individual type.

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1265728265 NPI number is provided on an as is basis without warranty of any kind. 1265728265 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Elizabeth Green CSW are for informational purposes only.