JOHN ROBERT GREEN

PLAYA DEL REY, CA
NPI1326120478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LT11036)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
-- JOHN ROBERT GREEN L.C.S.W.
7738 W 80TH ST
PLAYA DEL REY, CA 90293-7972
Phone number: 310-822-2782
Mailing Address
-- JOHN ROBERT GREEN L.C.S.W.
7738 W 80TH ST
PLAYA DEL REY, CA 90293-7972
Phone number: 310-822-2782