MS. Rachel Jackson Green, MSW, LSW

NPI #1154046233 in Champaign, Illinois

Provider Information

NPI Number: 1154046233
Entity Type: Individual
Name: MS. Rachel Jackson Green, MSW, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW, LSW
Enumeration Date: Oct 11, 2022
Last Updated: Oct 11, 2022

Practice Location

Address: 411 E PARK ST STE 106
City: Champaign
State: Illinois
ZIP Code: 61820-3862
Phone: (217) 714-7042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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