Individual
DR. CORINNE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9621 SIX FORKS RD, RALEIGH, NC 27615-1628
(919) 671-4374
Mailing address
7716 FALL BRANCH CT, WAKE FOREST, NC 27587-8719
(919) 671-4374
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3964
NC
Other
Enumeration date
01/20/2010
Last updated
11/12/2010
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