Johnny Duane Green

NPI #1831411263 in Madill, Oklahoma

Provider Information

NPI Number: 1831411263
Entity Type: Individual
Name: Johnny Duane Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 26, 2010
Last Updated: Feb 26, 2010

Practice Location

Address: 105 PLAZA
City: Madill
State: Oklahoma
ZIP Code: 73446-2248
Phone: (580) 795-7439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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