KELLY MIKE GREEN

PRICE, UT
NPI1316169915
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  130900-3501)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- KELLY MIKE GREEN MSW, LCSW
LDS FAMILY SERVICES 630 W PRICE RIVER DR.
PRICE, UT 84501
Phone number: 435-637-2991
Mailing Address
-- KELLY MIKE GREEN MSW, LCSW
427 E 100 N
MOAB, UT 84532-2409
Phone number: 435-259-5500
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