Individual
DEANNA TRACY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NONE
Contact information
Practice address
2513 24TH ST, SAN FRANCISCO, CA 94110-3556
(415) 642-5968
Mailing address
2513 24TH ST, SAN FRANCISCO, CA 94110-3556
(415) 642-5968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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