MRS. Tanyatta Deanna Green, LCSW

NPI #1033649157 in Norfolk, Virginia

Provider Information

NPI Number: 1033649157
Entity Type: Individual
Name: MRS. Tanyatta Deanna Green, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 13, 2017
Last Updated: Apr 27, 2023

Practice Location

Address: 222 W 19TH ST
City: Norfolk
State: Virginia
ZIP Code: 23517-2218
Phone: (757) 622-7017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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