Talia Green

NPI #1023584596 in Wasilla, Alaska

Provider Information

NPI Number: 1023584596
Entity Type: Individual
Name: Talia Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 22, 2018
Last Updated: Oct 22, 2018

Practice Location

Address: 133 E SWANSON AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-7025
Phone: (907) 864-0560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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