Individual
AMANDA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
207 BRIGGS DR, EASLEY, SC 29642-1803
(864) 979-6729
Mailing address
207 BRIGGS DR, EASLEY, SC 29642-1803
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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