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Individual

JELEAH BRIYON GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
130 ALFREDO DR STE A, CLARKSVILLE, TN 37042-2750
(931) 548-7097
Mailing address
130 ALFREDO DR STE A, CLARKSVILLE, TN 37042-2750
(931) 548-7097

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/09/2023
Last updated
03/09/2023
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