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1255493755
JAMES W. GREEN
SIOUX FALLS, SD
NPI
1255493755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD CDC 02061211)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
-- JAMES W. GREEN CCDCII
4400 W 69TH ST
SIOUX FALLS, SD 57108-8170
Phone number: 605-322-4079
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Mailing Address
-- JAMES W. GREEN CCDCII
4400 W 69TH ST
SIOUX FALLS, SD 57108-8170
Phone number: 605-322-4079
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