TIA GREEN

SHALLOTTE, NC
NPI1760012314
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-01-23
Last Update Date2020-01-23
Business Address
TIA GREEN
4437 MAIN ST
SHALLOTTE, NC 28470-4451
Phone number: 910-754-4449
Mailing Address
TIA GREEN
4437 MAIN ST
SHALLOTTE, NC 28470-4451
Phone number: 910-754-4449
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