Green, Dwayne T

Green, Dwayne T is an sole proprietor health care provider with primary practice located at 5 Shawan Rd Ste 101C , Hunt Valley MD 21030-1373. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Green, Dwayne T can be contacted via phone (443) 982-0692.

Contact Information

Primary practice address
5 Shawan Rd Ste 101C Hunt Valley MD 21030-1373
Phone: (443) 982-0692
Fax: (443) 982-0616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC3757 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC3757 Maryland

Profile Details

NPI number 1427359132
LBN Legal business name Green, Dwayne T
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2010
Last updated Feb 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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