Individual
SARAH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 FARRAGUT AVE, COLORADO SPRINGS, CO 80909-5626
(719) 327-2042
Mailing address
10 DUBONNET CT, GRAND JUNCTION, CO 81507-1273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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