Individual
MRS. MELODY D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3251 POPLAR AVE STE 230, MEMPHIS, TN 38111-3631
(901) 327-6650
(901) 327-6162
Mailing address
111 RACINE ST, MEMPHIS, TN 38111-2707
(901) 323-3600
(901) 323-3640
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
708
TN
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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