THEODORA K GREEN

EVANSTON, IL
NPI1255153391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  150.111842)
Enumeration Date2024-10-29
Last Update Date2024-10-29
Business Address
Mrs. THEODORA K GREEN LSW, CADC RMA, DVA
825 CHICAGO AVE FL 2A
EVANSTON, IL 60202-2375
Phone number: 312-725-4088
Mailing Address
Mrs. THEODORA K GREEN LSW, CADC RMA, DVA
7 SIMPSON ST # 1A
GENEVA, IL 60134-2459
Phone number: 312-725-4088
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