Individual
MONIQUE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4762 RIVERS AVE STE A, NORTH CHARLESTON, SC 29405-6691
(843) 321-5882
(888) 656-6393
Mailing address
8420 CAROLINA LILY LN, CHARLOTTE, NC 28262-6470
(704) 953-7541
(888) 656-6393
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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