Desiree Ann Green

NPI #1457150906 in Pryor, Oklahoma

Provider Information

NPI Number
1457150906
Entity Type
Individual
Name
Desiree Ann Green
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Peer Specialist
Enumeration Date
Mar 10, 2025
Last Updated
May 13, 2025

Practice Location

Address
1500 E GRAHAM AVE
City
Pryor
ZIP Code
74361-6793
Phone
(918) 825-1062

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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