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1275151128
CARLA JAY GREEN
WINSTON SALEM, NC
NPI
1275151128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 26024)
Enumeration Date
2020-07-08
Last Update Date
2020-07-08
Business Address
CARLA JAY GREEN LCAS-A
665 W 4TH ST
WINSTON SALEM, NC 27101-2701
Phone number: 336-725-8389
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Mailing Address
CARLA JAY GREEN LCAS-A
1730 FRANCISCAN TER APT H
WINSTON SALEM, NC 27127-7708
Phone number: 240-550-6452
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