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1053644591
RYAN GREEN
EUREKA, CA
NPI
1053644591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 61473)
Enumeration Date
2009-09-16
Last Update Date
2015-09-14
Business Address
-- RYAN GREEN LCSW
720 WOOD ST
EUREKA, CA 95501-1117
Phone number: 707-382-7855
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Mailing Address
-- RYAN GREEN LCSW
720 WOOD ST
EUREKA, CA 95501-1117
Phone number:
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