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1275115222
SHANEICIA D GREEN
LOUISBURG, NC
NPI
1275115222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P014159)
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
SHANEICIA D GREEN LCSW-A
669 SAGAMORE DR.
LOUISBURG, NC 27549
Phone number: 252-477-0008
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Mailing Address
SHANEICIA D GREEN LCSW-A
1215 ALPHA RD
HENDERSON, NC 27536-2523
Phone number: 919-866-9698
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