Individual
KIANGA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
96 WISTERIA RD, GOOSE CREEK, SC 29445-3495
(843) 797-7871
(843) 797-8638
Mailing address
96 WISTERIA RD, GOOSE CREEK, SC 29445-3495
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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