Individual
MS. CHARLEAN L GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2032 JESSE SCOTT ST, LAS VEGAS, NV 89106-2159
(702) 577-7391
(888) 463-4927
Mailing address
2032 JESSE SCOTT ST, LAS VEGAS, NV 89106-2159
(702) 577-7391
(888) 463-4927
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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