NPI 1104633411

Emerald Green

Practitioner Clinical Social Worker Broken Arrow, OK

Practice location

Address: 2548 E Kenosha St, Broken Arrow, OK 74014-6712
Phone: (916) 355-0993

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Oklahoma →

Registry record

NPI: 1104633411
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2024
Record last updated: 31 Jan 2025

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.