Individual
POETRII GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 ALCOTT AVE, SAINT LOUIS, MO 63120-2516
(314) 745-3087
Mailing address
5505 ALCOTT AVE, SAINT LOUIS, MO 63120-2516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024049946
MO
Other
Enumeration date
08/21/2023
Last updated
12/31/2024
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