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Individual

EMILY GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1145 SHERIDAN RD NE, ATLANTA, GA 30324-3714
(678) 561-0835
Mailing address
215 FAYETTEVILLE ROAD, DECATUR, GA 30030
(678) 561-0835

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006026
GA

Other

Enumeration date
12/04/2007
Last updated
03/03/2017
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