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Individual

MR. ADEYEMI GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1091 TRAILWAY CIR, SNELLVILLE, GA 30078-7750
(470) 396-9017
Mailing address
1091 TRAILWAY CIR, SNELLVILLE, GA 30078-7750
(470) 396-9017

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007770
GA

Other

Enumeration date
10/26/2021
Last updated
10/26/2021
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