Individual
MRS. MARIE SIMON GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
1547 PARKWAY, GREENWOOD, SC 29646-4081
(864) 229-7120
Mailing address
114 WINDTREE CT, UNIT E, GREENWOOD, SC 29649-9282
(864) 223-4087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
11/19/2007
Last updated
11/19/2007
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