Jan R Green, LCSW

NPI #1255437554 in Alton, Illinois

Provider Information

NPI Number
1255437554
Entity Type
Individual
Name
Jan R Green, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Sep 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
815 E 5TH ST
City
Alton
ZIP Code
62002-6471
Phone
(618) 474-6244

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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