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Individual

MS. CAROLYN JOAN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1639 FORUM PL, SUITE 7, WEST PALM BEACH, FL 33401-2330
(561) 255-6181
(561) 795-7192
Mailing address
8508 WATER CAY, WEST PALM BEACH, FL 33411-5556
(561) 255-6181
(561) 795-7192

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH 7309
FL

Other

Enumeration date
04/12/2011
Last updated
04/12/2011
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