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1275690018
FOY WALLACE GREEN
SACRAMENTO, CA
NPI
1275690018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY16260)
Enumeration Date
2007-01-02
Last Update Date
2013-05-30
Business Address
Dr. FOY WALLACE GREEN Ph.D.
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number: 916-337-7341
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Mailing Address
Dr. FOY WALLACE GREEN Ph.D.
PO BOX 611
ORANGEVALE, CA 95662-0611
Phone number: 916-337-7341
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