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Marina Green

Social Worker, Clinical in Alexandria, VA. Individual provider (NPI-1).

NPI number1033713680
StatusActive
Last updated in NPPESFeb 15, 2022

Details

NPI
1033713680
Entity type
Individual (NPI-1)
Name
Marina Green
Sex
Female
Sole proprietor
No
Enumeration date
Nov 24, 2020
Certification date
Feb 15, 2022
Last updated
Feb 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical0904012460VAYes

Practice location

6076 Franconia Rd Ste D
Alexandria, VA 22310-1768

Phone 703-828-9054

Mailing address

1000 Jefferson St Ste 2c
Lynchburg, VA 24504-1724

Phone 540-217-6461

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