Individual
MS. KIARRA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
G.V. (SONNY) MONTGOMERY VAMC 1500 E WOODROW WILSON AVE, JACKSON, MS 39216
(601) 882-2897
Mailing address
1500 E. WOODROW WILSON AVE., JACKSON, MS 39216
(601) 882-2897
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
MS
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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