Individual
MRS. DENISE E GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56218 PARKWAY AVE, ELKHART, IN 46516-9326
(574) 293-0005
(574) 293-0019
Mailing address
1326 CRIMSON LEAF DR, GOSHEN, IN 46526-6285
(574) 361-2393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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