Individual
ALIYAH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
927 SUTHERLAND DR, STOCKTON, CA 95210-1463
(510) 459-3264
Mailing address
927 SUTHERLAND DR, STOCKTON, CA 95210-1463
(510) 459-3264
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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