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1245281716
KENNETH VINCENT GREEN
PANAMA CITY, FL
NPI
1245281716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL FL 3661)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
-- KENNETH VINCENT GREEN DCSW LCSW
102 SPRINGHILL CIR
PANAMA CITY, FL 32405-3546
Phone number: 185-052-2855
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Mailing Address
-- KENNETH VINCENT GREEN DCSW LCSW
102 SPRINGHILL CIR
PANAMA CITY, FL 32405-3546
Phone number: 185-052-2855
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