NPI 1003071879

Miriam E Green, MSWLCSW

Practitioner Clinical Social Worker Springfield, MO

Practice location

Address: 1330 E Cherry St, Springfield, MO 65802-3429
Phone: (417) 862-1377

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 2005025788 (MO)

Other Social Worker providers in Missouri →

Registry record

NPI: 1003071879
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2008
Record last updated: 22 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.