Tia Jaelaine Green, LCSW Valid NPI

Individual provider · Clinical Social Worker · Edmond, OK

NPI

1952343196

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

Sex

Female

Sole proprietor

Yes

Enumerated

2006-06-12

Last updated

2023-08-28