Individual
EMILY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31500 ROYALVIEW DR, WILLOWICK, OH 44095-4256
(440) 516-2030
Mailing address
31500 ROYALVIEW DR, WILLOWICK, OH 44095-4256
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3083780
OH
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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