TIA JAELAINE GREEN

EDMOND, OK
NPI1952343196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2006-06-12
Last Update Date2023-08-28
Business Address
Ms. TIA JAELAINE GREEN LCSW
407 W 15TH ST STE 7
EDMOND, OK 73013-3668
Phone number: 405-204-4677
Mailing Address
Ms. TIA JAELAINE GREEN LCSW
PO BOX 96301
OKLAHOMA CITY, OK 73143-6301
Phone number: 405-204-4677
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