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1356402408
JACK D GREEN
LANCASTER, PA
NPI
1356402408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW014273)
Enumeration Date
2006-12-13
Last Update Date
2013-05-07
Business Address
-- JACK D GREEN MSW
1755 OREGON PIKE SUITE 200
LANCASTER, PA 17601-4272
Phone number: 717-581-5255
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Mailing Address
-- JACK D GREEN MSW
1755 OREGON PIKE SUITE 200
LANCASTER, PA 17601-4272
Phone number: 717-581-5255
Copy
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