Individual
ERNESTINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT, LAC
Contact information
Practice address
553 BECKETT RD, SWEDESBORO, NJ 08085-1565
(856) 677-8535
Mailing address
PO BOX 1560, BELLMAWR, NJ 08099-5560
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/23/2009
Last updated
12/10/2019
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