Individual
ELIZABETH TALLMADGE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E 2ND ST APT 2, FREDERICK, MD 21701-7200
(410) 777-0710
Mailing address
103 E 2ND ST APT 2, FREDERICK, MD 21701-7200
(410) 777-0710
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
LCA3221
MD
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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