Maxine A Green, LICSW
NPI #1154478188 in Great Barrington, Massachusetts
Provider Information
- NPI Number
- 1154478188
- Entity Type
- Individual
- Name
- Maxine A Green, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 60 COTTAGE ST
- Address 2
- MAIN ST HUMAN RESOURCES BRIEN CENTER
- City
- Great Barrington
- State
- Massachusetts
- ZIP Code
- 01230-1302
- Phone
- (413) 528-9155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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