Most Relevant Information
Provider Data
| NPI Number: | 1003071879 |
| Provider Name: | MIRIAM E GREEN M.S.W., L.C.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2005025788 |
Most Important Dates
| Enumeration Date: | 07/22/2008 |
| Last Updated: | 07/22/2008 |
Provider Practice Location
1330 E CHERRY ST
SPRINGFIELD
MO
658023429
Practice Location Phone/Fax
| Phone: | 4178621377 |
| Fax: |
Provider Mailing Location
1330 E CHERRY ST
SPRINGFIELD
MO
658023429
Provider Mailing Phone/Fax
| Phone: | 4178621377 |
| Fax: |