Individual
KERRY ALEXIA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 LINDA AVE, HAWTHORNE, NY 10532-2018
(914) 773-7477
Mailing address
4065 SETON AVE, BRONX, NY 10466-2332
(718) 994-8669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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