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1265104061
ROY DONZELL GREEN
PETERSBURG, VA
NPI
1265104061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701004232)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
ROY DONZELL GREEN LPC
20 W BANK ST
PETERSBURG, VA 23803-3279
Phone number: 804-862-8002
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Mailing Address
ROY DONZELL GREEN LPC
15513 SILVERTREE LN
SOUTH CHESTERFIELD, VA 23834-5161
Phone number: 804-721-2799
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