Individual
MR. DOUGLAS GREEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7381 BARNSTABLE RD, MEMPHIS, TN 38125-2712
(901) 310-0320
Mailing address
7381 BARNSTABLE RD, MEMPHIS, TN 38125-2712
(901) 310-0320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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