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1255693990
LYLE GREEN
PALMETTO BAY, FL
NPI
1255693990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH9122)
Enumeration Date
2012-06-08
Last Update Date
2012-06-08
Business Address
Mr. LYLE GREEN MHC & MFT
14401 OLD CUTLER RD
PALMETTO BAY, FL 33158-1722
Phone number: 786-573-7010
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Mailing Address
Mr. LYLE GREEN MHC & MFT
14401 OLD CUTLER RD
PALMETTO BAY, FL 33158-1722
Phone number: 786-573-7010
Copy
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