Olin David Green JR.
NPI #1831943844 in Nitro, West Virginia
Provider Information
- NPI Number
- 1831943844
- Entity Type
- Individual
- Name
- Olin David Green JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Apr 16, 2024
- Last Updated
- Apr 16, 2024
Practice Location
- Address
- 142 CROSS LANES DR
- City
- Nitro
- State
- West Virginia
- ZIP Code
- 25143-1007
- Phone
- (304) 769-8484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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