CHARLES GREEN

BERKELEY, CA
NPI1124471784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  ASW72376)
Enumeration Date2016-07-19
Last Update Date2020-12-21
Business Address
CHARLES GREEN
2939 ELLIS ST
BERKELEY, CA 94703-2107
Phone number: 510-981-5173
Mailing Address
CHARLES GREEN
2939 ELLIS ST
BERKELEY, CA 94703-2107
Phone number: 510-981-5173
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