Individual
DANIELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1192 FLAT STONE DR, GALLATIN, TN 37066-4668
(931) 260-3008
Mailing address
1192 FLAT STONE DR, GALLATIN, TN 37066-4668
(931) 260-3008
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1488
TN
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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