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1275766123
LORI B GREEN
SANTA CRUZ, CA
NPI
1275766123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT28842)
Enumeration Date
2009-08-26
Last Update Date
2017-10-10
Business Address
LORI B GREEN LMFT
3240 ROLAND DR
SANTA CRUZ, CA 95062-4329
Phone number: 831-476-5546
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Mailing Address
LORI B GREEN LMFT
3240 ROLAND DR.
SANTA CRUZ, CA 95062
Phone number: 831-476-5546
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