Individual
MIRIAM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 CHANEY ST, LAKE ELSINORE, CA 92530-2712
(951) 253-7000
Mailing address
545 CHANEY ST, LAKE ELSINORE, CA 92530-2712
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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