Individual
MS. JENNIFER A GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
5431 CLAIRMONT LN, NORTH CHARLESTON, SC 29420-7810
(843) 821-3973
Mailing address
5431 CLAIRMONT LN, NORTH CHARLESTON, SC 29420-7810
(843) 821-3973
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
102627
SC
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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