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1033589569
MARK STEPHEN GREEN
WICHITA, KS
NPI
1033589569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: KS 2354)
Enumeration Date
2015-09-26
Last Update Date
2015-09-26
Business Address
Dr. MARK STEPHEN GREEN Ph.D., L.P.
9415 E HARRY ST SUITE 703
WICHITA, KS 67207-5089
Phone number: 316-978-6102
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Mailing Address
Dr. MARK STEPHEN GREEN Ph.D., L.P.
1845 FAIRMOUNT ST BOX 91
WICHITA, KS 67260-0091
Phone number: 316-978-6102
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