JOHN WILLIAM GREEN

PORTLAND, ME
NPI1184683468
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  mc8166)
Enumeration Date2006-03-23
Last Update Date2012-07-16
Business Address
-- JOHN WILLIAM GREEN LCSW
208 VAUGHAN ST
PORTLAND, ME 04102-3204
Phone number: 207-415-3393
Mailing Address
-- JOHN WILLIAM GREEN LCSW
208 VAUGHAN ST
PORTLAND, ME 04102-3204
Phone number: 207-415-3393
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