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1255735247
SAMUEL ELLIS GREEN
JAMAICA, NY
NPI
1255735247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 003591)
Enumeration Date
2014-10-20
Last Update Date
2014-10-20
Business Address
Mr. SAMUEL ELLIS GREEN M.A., L.M.H.C.
9027 SUTPHIN BLVD
JAMAICA, NY 11435-3647
Phone number: 718-526-8400
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Mailing Address
Mr. SAMUEL ELLIS GREEN M.A., L.M.H.C.
9027 SUTPHIN BLVD
JAMAICA, NY 11435-3647
Phone number: 718-526-8400
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