Individual
KRISTINA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
905 S MAIN ST, LUSK, WY 82225-5208
(307) 334-3666
Mailing address
PO BOX 1365, LUSK, WY 82225-1365
(307) 358-2846
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WY
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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