Individual
SAUNDRA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
1234 BEAVER RUIN RD, NORCROSS, GA 30093-3102
(678) 216-7316
Mailing address
1234 BEAVER RUIN RD, NORCROSS, GA 30093-3102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
GA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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