SHONTANAE IMANI GREEN

GROVETOWN, GA
NPI1134885411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  LPC014138)
Enumeration Date2021-11-11
Last Update Date2023-09-19
Business Address
SHONTANAE IMANI GREEN MS, LPC, NCC
247 SASSAFRAS LN
GROVETOWN, GA 30813-7300
Phone number: 706-631-1882
Mailing Address
SHONTANAE IMANI GREEN MS, LPC, NCC
247 SASSAFRAS LN
GROVETOWN, GA 30813-7300
Phone number: 706-631-1882
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