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Individual

MR. ZACHARY THOMAS GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(859) 699-1768
Mailing address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(859) 699-1768

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/19/2018
Last updated
07/19/2018
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