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1073161717
KERRY M GREEN
COEUR D ALENE, ID
NPI
1073161717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-7253)
Enumeration Date
2019-08-27
Last Update Date
2020-12-01
Business Address
KERRY M GREEN LCPC
250 NORTHWEST BLVD STE 101A
COEUR D ALENE, ID 83814-2971
Phone number: 208-661-9200
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Mailing Address
KERRY M GREEN LCPC
250 NORTHWEST BLVD STE 101A
COEUR D ALENE, ID 83814-2971
Phone number:
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