Individual
MS. KESHA P GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3728 RENFROE AVE, DOUGLASVILLE, GA 30135-7736
(706) 332-0526
Mailing address
3728 RENFROE AVE, DOUGLASVILLE, GA 30135-7736
(706) 332-0526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009378
GA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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