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1265979611
MANWELL GREEN
LOS ANGELES, CA
NPI
1265979611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C9651214)
Enumeration Date
2017-01-24
Last Update Date
2017-01-30
Business Address
Mr. MANWELL GREEN
4445 BURNS AVE
LOS ANGELES, CA 90029
Phone number: 323-664-8940
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Mailing Address
Mr. MANWELL GREEN
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-664-8940
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