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1285918466
JENNIE ELIZABETH GREEN
LOS ANGELES, CA
NPI
1285918466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2011-10-05
Last Update Date
2013-12-02
Business Address
-- JENNIE ELIZABETH GREEN Psy.D.
3200 MOTOR AVE
LOS ANGELES, CA 90034-3710
Phone number: 310-204-1666
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Mailing Address
-- JENNIE ELIZABETH GREEN Psy.D.
3200 MOTOR AVE
LOS ANGELES, CA 90034-3710
Phone number: 310-204-1666
Copy
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