Individual
PAULA MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
664 RAWL RD, LEXINGTON, SC 29072-8956
(803) 821-2800
Mailing address
108 PALMETTO PARK BLVD STE D, LEXINGTON, SC 29072-7969
(310) 930-8856
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
48081
CA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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