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Individual

CARRIE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2260 FAIRBURN ROAD SW #311672, ATLANTA, GA 30331-9998
(470) 795-0245
Mailing address
2260 FAIRBURN ROAD SW #311672, ATLANTA, GA 30331-9998

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
06610
KS
101YM0800X
Mental Health Counselor
5915C
AL
101YM0800X
Mental Health Counselor
Primary
CSW009095
GA

Other

Enumeration date
07/23/2024
Last updated
12/02/2024
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