JAN R GREEN

ALTON, IL
NPI1255437554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149007493)
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
-- JAN R GREEN LCSW
815 E 5TH ST
ALTON, IL 62002-6471
Phone number: 618-474-6244
Mailing Address
-- JAN R GREEN LCSW
PO BOX 340
ALTON, IL 62002-0340
Phone number: 618-474-6240
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