Individual
ANGELIE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4151 MEMORIAL DR, SUITE 112A, DECATUR, GA 30032-1504
(404) 644-5131
Mailing address
3961 FLOYD RD, #300-201, AUSTELL, GA 30106-8535
(404) 644-5131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008586
GA
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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