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1396830576
TARA SCOTT GREEN
LOUISVILLE, KY
NPI
1396830576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KY 2006-65)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- TARA SCOTT GREEN
1512 CRUMS LN
LOUISVILLE, KY 40216-3861
Phone number: 502-589-1100
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Mailing Address
-- TARA SCOTT GREEN
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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