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Individual

DR. SHA-RHONDA M. GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LCSW

Contact information

Practice address
PO BOX 1311, NORTHPORT, AL 35476-6311
(336) 939-6626
Mailing address
PO BOX 1311, NORTHPORT, AL 35476-6311
(678) 602-9709

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114985
TX
1041C0700X
Clinical Social Worker
CSW003415
GA
1041S0200X
School Social Worker
655925
GA

Other

Enumeration date
12/21/2009
Last updated
02/07/2025
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