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1134248248
KRISTAL DESHEE GREEN
LOS ANGELES, CA
NPI
1134248248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 25207)
Enumeration Date
2007-03-28
Last Update Date
2009-02-25
Business Address
Miss KRISTAL DESHEE GREEN LCSW
439 W 97TH ST
LOS ANGELES, CA 90003-3968
Phone number: 323-754-2856
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Mailing Address
Miss KRISTAL DESHEE GREEN LCSW
439 W 97TH ST
LOS ANGELES, CA 90003-3968
Phone number: 323-754-2856
Copy
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