Wakeetha Machelle Green

NPI #1427141589 in N Charleston, South Carolina

Provider Information

NPI Number: 1427141589
Entity Type: Individual
Name: Wakeetha Machelle Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3601 MEETING STREET RD # C
City: N Charleston
State: South Carolina
ZIP Code: 29405-7715
Phone: (843) 740-6136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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