Kenneth Vincent Green, DCSW LCSW

NPI #1245281716 in Panama City, Florida

Provider Information

NPI Number
1245281716
Entity Type
Individual
Name
Kenneth Vincent Green, DCSW LCSW
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Social Worker - Clinical
Credential
DCSW LCSW
Enumeration Date
May 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
102 SPRINGHILL CIR
State
Florida
ZIP Code
32405-3546
Phone
(185) 052-2855

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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