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Individual

DR. VANESSA ROSE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
Mailing address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0102203122
VA
2084P0800X
Psychiatry Physician
Primary
72770
CT

Other

Enumeration date
06/21/2010
Last updated
11/11/2022
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