CHANEL M GREEN

ATLANTA, GA
NPI1922776087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW008390)
Additional Taxonomies104100000X Social Worker
(Licence: GA  MSW007493)
Enumeration Date2021-09-02
Last Update Date2023-02-01
Business Address
CHANEL M GREEN
3117 BENNINGER TRCE SW
ATLANTA, GA 30331-6266
Phone number: 678-938-7590
Mailing Address
CHANEL M GREEN
3117 BENNINGER TRCE SW
ATLANTA, GA 30331-6266
Phone number: 678-938-7590