Most Relevant Information
Provider Data
| NPI Number: | 1003477373 |
| Provider Name: | TEMEKA JUSTINE RUTH GREEN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/26/2019 |
| Last Updated: | 06/26/2019 |
Provider Practice Location
999 CHERAW ST
BENNETTSVILLE
SC
295122420
Practice Location Phone/Fax
| Phone: | 8434796104 |
| Fax: |
Provider Mailing Location
238 N FORDTOWN RD
LAKE VIEW
SC
295635102
Provider Mailing Phone/Fax
| Phone: | 8436216063 |
| Fax: |