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1164592010
CRYSTAL ELAINA GREEN
SAN DIEGO, CA
NPI
1164592010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT38882)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Dr. CRYSTAL ELAINA GREEN PhD, LMFT
1807 ROBINSON AVE
SAN DIEGO, CA 92103-7633
Phone number: 619-318-6573
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Mailing Address
Dr. CRYSTAL ELAINA GREEN PhD, LMFT
PO BOX 33663
SAN DIEGO, CA 92163-3663
Phone number: 619-318-6573
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