| Edith Marie Green | |
|
4125 Clifton Park Cir W Apt 108 New Albany OH 43054-1164 | |
| (614) 975-8979 | |
| Not Available |
| Full Name | Edith Marie Green |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4125 Clifton Park Cir W Apt 108, New Albany, Ohio |
| Authorized Official Name and Position | Edie Marie Holmes (OWNER) |
| Authorized Official Contact | 6149758979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edith Marie Green 4125 Clifton Park Cir W Apt 108 New Albany OH 43054-1164 Ph: (614) 975-8979 | Edith Marie Green 4125 Clifton Park Cir W Apt 108 New Albany OH 43054-1164 Ph: (614) 975-8979 |
| NPI Number | 1053250084 |
|---|---|
| Provider Enumeration Date | 03/26/2026 |
| Last Update Date | 03/26/2026 |
| Certification Date | 03/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053250084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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