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1063744167
MICHAEL ANDREW GREEN
OMAHA, NE
NPI
1063744167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 1819)
Enumeration Date
2010-02-01
Last Update Date
2010-02-01
Business Address
-- MICHAEL ANDREW GREEN
5115 F STREET
OMAHA, NE 68117-2807
Phone number: 402-397-9866
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Mailing Address
-- MICHAEL ANDREW GREEN
108 TRADERS POINTE CIR
COUNCIL BLUFFS, IA 51501-8546
Phone number: 402-216-1789
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