MR. Christopher J Green, MSW, LICSW

NPI #1942438239 in Crookston, Minnesota

Provider Information

NPI Number: 1942438239
Entity Type: Individual
Name: MR. Christopher J Green, MSW, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW, LICSW
Enumeration Date: Jun 25, 2009
Last Updated: Jun 25, 2009

Practice Location

Address: 603 BRUCE ST
City: Crookston
State: Minnesota
ZIP Code: 56716-2914
Phone: (218) 289-6081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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