Individual
ZAKEVIA D GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4317 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5308
(703) 762-6855
Mailing address
4317 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5308
(703) 762-6855
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/16/2023
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