MALITA ELICE GREEN

SHAWNEE, OK
NPI1891051330
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-04-10
Last Update Date2012-04-10
Business Address
Mrs. MALITA ELICE GREEN B.A.
102 ASHLEY DR
SHAWNEE, OK 74804-9710
Phone number: 405-808-5875
Mailing Address
Mrs. MALITA ELICE GREEN B.A.
102 ASHLEY DR
SHAWNEE, OK 74804-9710
Phone number: 405-808-5875
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