Stephanie Green
NPI #1366895328 in South Boston, Virginia
Provider Information
- NPI Number
- 1366895328
- Entity Type
- Individual
- Name
- Stephanie Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 14, 2016
- Last Updated
- Jan 9, 2017
Practice Location
- Address
- 554 N MAIN ST STE 104
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-3283
- Phone
- (434) 470-7995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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