STACY L. GREEN

GRASS VALLEY, CA
NPI1447346911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  ASW31786)
Additional Taxonomies101YM0800X Counselor, Mental Health
104100000X Social Worker
(Licence: CA  asw16266)
104100000X Social Worker
(Licence: CA  ASW31786)
Enumeration Date2006-10-04
Last Update Date2016-06-23
Business Address
-- STACY L. GREEN
714 WEST MAIN ST.
GRASS VALLEY, CA 95945
Phone number: 530-477-9800
Mailing Address
-- STACY L. GREEN
714 W. MAIN ST
GRASS VALLEY, CA 95945
Phone number: 530-477-9800