Individual
CHERYL M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,L.M.H.C.; L.M.F.T
Contact information
Practice address
22 BROOKFIELD RD, BRIMFIELD, MA 01010-9794
(413) 245-9244
Mailing address
22 BROOKFIELD RD, P.O. BOX 255, BRIMFIELD, MA 01010-9794
(413) 245-9244
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
947
MA
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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