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1295180065
TANEA GREEN
JEFFERSON CITY, MO
NPI
1295180065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2015044363)
Enumeration Date
2016-04-29
Last Update Date
2016-04-29
Business Address
-- TANEA GREEN M. Ed., P.L.P.C.
718 W MCCARTY ST
JEFFERSON CITY, MO 65101-1544
Phone number: 573-645-7849
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Mailing Address
-- TANEA GREEN M. Ed., P.L.P.C.
1418 S SUMMIT DR
HOLTS SUMMIT, MO 65043-2048
Phone number: 573-645-7849
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