Kesha Green LLC

NPI #1568734556 in Hiram, Georgia

Provider Information

NPI Number
1568734556
Entity Type
Organization
Organization Name
Kesha Green LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 6, 2012
Last Updated
Feb 6, 2012

Practice Location

Address
122 GREYSTONE CIR
City
Hiram
State
Georgia
ZIP Code
30141-3141
Phone
(706) 332-0526

Authorized Official

Name
KESHA PANIKA GREEN, LMSW
Title
OWNER/CLINICIAN
Phone
(706) 332-0526

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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