Individual
MARVIN L GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
179 FOX CHASE DR, GOOSE CREEK, SC 29445-5413
(843) 830-2979
(843) 572-6992
Mailing address
179 FOX CHASE DR, GOOSE CREEK, SC 29445-5413
(843) 830-2979
(843) 572-6992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4189
SC
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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