Female

Carmaneila L. Green

Clinical Social Worker in St Augustine, FL(View on Map)

Full Name

Carmaneila L. Green

NPI Number

1396001756

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/10/2012

Specialties

(Taxonomies)

Code

1041C0700X
101Y00000X
101YM0800X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida

License Number

000738

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 9113
67 S DIXIE HWY

City

Fleming Island
St Augustine

State

FL
FL

Postal Code

32006-0023
32084-0317

Country

US
US

Telephone Number

(904) 215-9273
(904) 429-7573

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/26/2012

Provider Address

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