Sadie Green

NPI #1114388105 in Ponderay, Idaho

Provider Information

NPI Number: 1114388105
Entity Type: Individual
Name: Sadie Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 17, 2016
Last Updated: Jul 27, 2016

Practice Location

Address: 207 LARKSPUR ST
City: Ponderay
State: Idaho
ZIP Code: 83852-5011
Phone: (208) 255-3334

Specialties & Taxonomy Codes

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

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