Emerald Green
NPI #1104633411 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1104633411
- Entity Type
- Individual
- Name
- Emerald Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Dec 11, 2024
- Last Updated
- Jan 31, 2025
Practice Location
- Address
- 2548 E KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-6712
- Phone
- (916) 355-0993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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