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Individual

REGINA GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHCNS, BC

Contact information

Practice address
102 BROWNING LN, SUITE C5, CHERRY HILL, NJ 08003-3195
(856) 571-4425
Mailing address
102 BROWNING LN, SUITE C5, CHERRY HILL, NJ 08003-3195

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
26NJ00112000
NJ

Other

Enumeration date
07/07/2010
Last updated
07/07/2010
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