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1225325046
MERRILEE DIANE GREENE
COSTA MESA, CA
NPI
1225325046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A5370111)
Enumeration Date
2011-06-30
Last Update Date
2011-06-30
Business Address
-- MERRILEE DIANE GREENE CADC II
2607 WILLO LN
COSTA MESA, CA 92627-4645
Phone number: 949-313-1192
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Mailing Address
-- MERRILEE DIANE GREENE CADC II
1530 E ORANGE GROVE AVE
ORANGE, CA 92867-7056
Phone number: 714-633-1927
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