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1063787414
KELLY ELISA GREEN
WHITE PLAINS, NY
NPI
1063787414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-19
Last Update Date
2012-03-19
Business Address
-- KELLY ELISA GREEN
20 CHURCH ST
WHITE PLAINS, NY 10601-1901
Phone number: 914-421-0400
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Mailing Address
-- KELLY ELISA GREEN
20 CHURCH ST
WHITE PLAINS, NY 10601-1901
Phone number: 914-421-0400
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