CODY GREEN

SHELBY, OH
NPI1205657004
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.190288)
Enumeration Date2024-10-23
Last Update Date2024-10-23
Business Address
CODY GREEN
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
Mailing Address
CODY GREEN
1039 PEARCE DR
MANSFIELD, OH 44906-2933
Phone number: 614-596-8746
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