Katherine Denice Green

NPI #1174256739 in Moore, Oklahoma

Provider Information

NPI Number: 1174256739
Entity Type: Individual
Name: Katherine Denice Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 1, 2022
Last Updated: Jul 1, 2022

Practice Location

Address: 12511 S SOONER ROAD PL
City: Moore
State: Oklahoma
ZIP Code: 73165-8105
Phone: (405) 794-4647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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