Individual
TEMEKA JUSTINE RUTH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 CHERAW ST, BENNETTSVILLE, SC 29512-2420
(843) 479-6104
Mailing address
238 N FORDTOWN RD, LAKE VIEW, SC 29563-5102
(843) 621-6063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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