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1245225952
CHARLES MCCLURE GREEN
QUIET DELL, WV
NPI
1245225952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WV 397)
Enumeration Date
2005-09-19
Last Update Date
2007-07-08
Business Address
Mr. CHARLES MCCLURE GREEN Licens Psychologist
RT 20
QUIET DELL, WV 26408
Phone number: 304-622-6404
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Mailing Address
Mr. CHARLES MCCLURE GREEN Licens Psychologist
RR 2 BOX 233B
MOUNT CLARE, WV 26408-9719
Phone number: 304-622-6404
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