Stacy Nicole Green, LMSW Valid NPI
Individual provider · Social Worker · Martinsburg, WV
- NPI
- 1679119754
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- 22391 (MD)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-11-22
- Last updated
- 2019-11-22
Practice location
510 Butler Ave
Martinsburg, WV 25405-9990
(304) 263-0811