Individual
MRS. SARA ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
150 E BURR BLVD, KEARNEYSVILLE, WV 25430-4793
(681) 242-8819
Mailing address
150 E BURR BLVD, KEARNEYSVILLE, WV 25430-4793
(681) 242-8819
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2242
WV
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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