William Mack Green, LCSW, LSAC | |
107 N Main St, Bountiful, UT 84010-6162 | |
(801) 244-5166 | |
Not Available |
Full Name | William Mack Green |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 107 N Main St, Bountiful, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013246131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 4932942-6006 (Utah) | Secondary |
1041C0700X | Social Worker - Clinical | 4932942-3501 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
William Mack Green, LCSW, LSAC 590 E Center St, Centerville, UT 84014-2305 Ph: (801) 244-5166 | William Mack Green, LCSW, LSAC 107 N Main St, Bountiful, UT 84010-6162 Ph: (801) 244-5166 |
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