Provider Information for 1174852156
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Dr. SHA-RHONDA M. GREEN PhD, LCSW
Sex: Female
NPI: 1174852156
Last Updated: 2025-02-07
Certification Date: 2025-02-07
Certification Date: 2025-02-07
Details
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NPI | 1174852156 | ||||||||||||||||
Enumeration Date | 2009-12-21 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | PO BOX 1311 NORTHPORT, AL 35476-6311 United States Phone: 678-602-9709 | Fax: | ||||||||||||||||
Primary Practice Address | PO BOX 1311 NORTHPORT, AL 35476-6311 United States Phone: 336-939-6626 | Fax: | ||||||||||||||||
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