Individual
EMILY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2441A COUNTY ROAD 501, RIPLEY, MS 38663-9677
(662) 286-2152
(662) 286-8095
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-2152
(662) 286-8095
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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