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1255787354
NATHANIEL GREEN
WILMINGTON, NC
NPI
1255787354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC lcas-3156)
Enumeration Date
2016-05-06
Last Update Date
2017-04-06
Business Address
-- NATHANIEL GREEN LCASA
2023 S 17TH ST
WILMINGTON, NC 28401-6600
Phone number: 910-632-2191
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Mailing Address
-- NATHANIEL GREEN LCASA
2023 S 17TH ST
WILMINGTON, NC 28401-6600
Phone number: 910-632-2191
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