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Individual

KATRINIA GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
268 SUNDERLAND WAY, STOCKBRIDGE, GA 30281-7955
(478) 297-6323
Mailing address
268 SUNDERLAND WAY, STOCKBRIDGE, GA 30281-7955
(478) 297-6323

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
GA

Other

Enumeration date
07/09/2016
Last updated
07/09/2016
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