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1013523059
SOMMER MAE GREEN
LEBANON, OH
NPI
1013523059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 173666)
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
SOMMER MAE GREEN
4216 HUNTING HAWK DR
LEBANON, OH 45036-7040
Phone number: 937-403-8350
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Mailing Address
SOMMER MAE GREEN
4216 HUNTING HAWK DR
LEBANON, OH 45036-7040
Phone number: 937-403-8350
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