Individual
MARTHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 FELIX ST, SAINT JOSEPH, MO 64501-2706
(816) 676-7235
Mailing address
901 FELIX ST, SAINT JOSEPH, MO 64501-2706
(816) 676-7235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021046308
MO
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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