Tina Renee Green LCSW-A

NPI 1255730826 - Social Worker - 1041C0700X

NPI Details
NPI 1255730826
Gender Female
Enumeration Date 08/19/2014
Last Updated 08/19/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
5700 EXECUTIVE CENTER DR
CHARLOTTE NC, 28212-8858, US
Phone (803) 614-4503
Fax
Business Location
5700 EXECUTIVE CENTER DR
CHARLOTTE NC, 28212-8858, US
Phone (803) 614-4503
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number P008761
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According to our database, Miss Tina Renee Green LCSW-A NPI is 1255730826, taxonomy code is 1041C0700X and license number is P008761, license state is located at North Carolina. Tina Renee Green LCSW-A physically located at 5700 Executive Center Dr, Charlotte NC, 28212-8858. NPI Number Tina Renee Green LCSW-A has the Individual type.

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1255730826 NPI number is provided on an as is basis without warranty of any kind. 1255730826 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Renee Green LCSW-A are for informational purposes only.