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Individual

DR. SHELLEY K GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LMFT

Contact information

Practice address
1948 E SUNRISE BLVD, SUITE 8, FT LAUDERDALE, FL 33304-1479
(954) 296-7913
Mailing address
1948 E SUNRISE BLVD, SUITE 8, FT LAUDERDALE, FL 33304-1479
(954) 296-7913

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0001443
FL

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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