Katherine Denice Green
Katherine Denice Green is a Peer Specialist in Moore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2022.
- Licensed in
- OK
- In the registry since
- 2022
Practice location Address checks out
12511 S Sooner Road PlMoore, OK 73165-8105
Phone: (405) 794-4647
Fax: (405) 794-8541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OK) |
|---|
Record details
| NPI number | 1174256739 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 1, 2022 |
| Last updated in NPPES | July 1, 2022 |
| Certification date | July 1, 2022 |
| Mailing address | 12511 S Sooner Road Pl, Moore, OK 73165-8105 |
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