DEXTER GREEN

MIAMI LAKES, FL
NPI1285189118
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  ADC-010386-2015)
Enumeration Date2016-08-21
Last Update Date2016-08-21
Business Address
-- DEXTER GREEN MCAP, CCJAP, ICRCADC
15485 EAGLE NEST LN SUITE 210
MIAMI LAKES, FL 33014-2247
Phone number: 973-510-3703
Mailing Address
-- DEXTER GREEN MCAP, CCJAP, ICRCADC
2901 CLEVELAND ST
HOLLYWOOD, FL 33020-2930
Phone number: 973-510-3703
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