Kaitlyn Elizabeth Green, LMSW

NPI #1083133342 in Idaho Falls, Idaho

Provider Information

NPI Number: 1083133342
Entity Type: Individual
Name: Kaitlyn Elizabeth Green, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LMSW
Enumeration Date: Sep 18, 2017
Last Updated: Sep 18, 2017

Practice Location

Address: 2420 E 25TH ST
City: Idaho Falls
State: Idaho
ZIP Code: 83404-7549
Phone: (208) 542-1026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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