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Individual

MARY O. GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SOCIAL WORKER

Contact information

Practice address
7684 GREENRIDGE CT, DOUGLASVILLE, GA 30134-3762
(770) 330-1968
(770) 942-8498
Mailing address
7684 GREENRIDGE CT, DOUGLASVILLE, GA 30134-3762
(770) 330-1968
(770) 942-8498

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0648B
AL

Other

Enumeration date
04/17/2009
Last updated
04/17/2009
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