Candiss Green, LSW

NPI #1467977298 in Hamilton, Ohio

Provider Information

NPI Number: 1467977298
Entity Type: Individual
Name: Candiss Green, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Aug 14, 2017
Last Updated: Aug 14, 2017

Practice Location

Address: 820 S MARTIN LUTHER KING JR BLVD
City: Hamilton
State: Ohio
ZIP Code: 45011-3216
Phone: (513) 887-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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