Kelly Mike Green, MSW, LCSW

NPI #1316169915 in Price, Utah

Provider Information

NPI Number
1316169915
Entity Type
Individual
Name
Kelly Mike Green, MSW, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW, LCSW
Enumeration Date
May 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
LDS FAMILY SERVICES
Address 2
630 W PRICE RIVER DR.
City
Price
State
Utah
ZIP Code
84501
Phone
(435) 637-2991

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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