Individual
MRS. JANE STEWART GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2150 PEACHFORD RD, ATLANTA, GA 30338-6520
(404) 808-5186
Mailing address
827 CARDOVA DR NE, ATLANTA, GA 30324-4208
(404) 808-5186
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000779
GA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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