Individual
DR. JENNIFER MILLER-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1721 SHIVERS RD, COLUMBIA, SC 29210-5413
(803) 896-7450
(803) 896-7451
Mailing address
1721 SHIVERS RD, COLUMBIA, SC 29210-5413
(803) 896-7450
(803) 896-7451
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
789
SC
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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