Individual
PATRICIA ANN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
2500 SW 107TH AVE STE 42, MIAMI, FL 33165-2492
(786) 759-1202
Mailing address
409 91ST ST, SURFSIDE, FL 33154-3126
(585) 314-7291
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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