Nathan Green, LISW

NPI #1841387362 in Granville, Ohio

Provider Information

NPI Number: 1841387362
Entity Type: Individual
Name: Nathan Green, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LISW
Enumeration Date: Oct 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1943 NEWARK GRANVILLE RD
City: Granville
State: Ohio
ZIP Code: 43023-9169
Phone: (740) 587-5252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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