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1023719085
ANTONETTE MARIE GREEN
SWANSEA, IL
NPI
1023719085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.017413)
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
Mrs. ANTONETTE MARIE GREEN LPC
2 BRONZE POINTE S STE A
SWANSEA, IL 62226-8307
Phone number: 618-207-2547
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Mailing Address
Mrs. ANTONETTE MARIE GREEN LPC
205 HICKORY RDG
BELLEVILLE, IL 62223-3443
Phone number: 618-593-4626
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