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