Most Relevant Information
Provider Data
| NPI Number: | 1003230004 |
| Provider Name: | JAMIE LEE GREEN M.S.ED., MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | ISW8255 |
Most Important Dates
| Enumeration Date: | 02/11/2014 |
| Last Updated: | 02/11/2014 |
Provider Practice Location
9800 W COMMERCIAL BLVD
TAMARAC
FL
333514325
Practice Location Phone/Fax
| Phone: | 9544755500 |
| Fax: |
Provider Mailing Location
9800 W COMMERCIAL BLVD
TAMARAC
FL
333514325
Provider Mailing Phone/Fax
| Phone: | 9544755500 |
| Fax: |