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1083772495
JACQUELINE B. GREEN
VALDOSTA, GA
NPI
1083772495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 001586)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- JACQUELINE B. GREEN LPC
2517 BEMISS RD SUITE C-1
VALDOSTA, GA 31602-1963
Phone number: 229-245-0330
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Mailing Address
-- JACQUELINE B. GREEN LPC
2913 MELROSE DR
VALDOSTA, GA 31602-2069
Phone number: 229-245-7009
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