Most Relevant Information
Provider Data
| NPI Number: | 1003388513 |
| Provider Name: | CASEY MARIE GREEN LCSW-C |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: | 14823 |
Most Important Dates
| Enumeration Date: | 12/21/2018 |
| Last Updated: | 12/21/2018 |
Provider Practice Location
407 TRIMBLE RD
JOPPA
MD
210854099
Practice Location Phone/Fax
| Phone: | 4106121546 |
| Fax: |
Provider Mailing Location
407 TRIMBLE RD
JOPPA
MD
210854099
Provider Mailing Phone/Fax
| Phone: | 4106121546 |
| Fax: |