Merciful Grace Green

NPI #1013739150 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1013739150
Entity Type: Individual
Name: Merciful Grace Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 29, 2024
Last Updated: Oct 29, 2024

Practice Location

Address: 529 WESTPORT RD
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-2923
Phone: (270) 807-0316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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