Individual
CAROLINE KILEY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
3417 14TH ST NW, WASHINGTON, DC 20010-3402
(240) 387-9054
Mailing address
1700 IRVING ST NW APT 302, WASHINGTON, DC 20010-2643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC200001695
DC
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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