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1255730826
TINA RENEE GREEN
CHARLOTTE, NC
NPI
1255730826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P008761)
Enumeration Date
2014-08-19
Last Update Date
2014-08-19
Business Address
Miss TINA RENEE GREEN LCSW-A
5700 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212-8858
Phone number: 803-614-4503
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Mailing Address
Miss TINA RENEE GREEN LCSW-A
5700 EXECUTIVE CENTER DR
CHARLOTTE, NC 28212-8858
Phone number: 803-614-4503
Copy
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