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1376002501
KATHRYN ROSE GREEN
VAN NUYS, CA
NPI
1376002501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10771)
Enumeration Date
2019-03-18
Last Update Date
2024-10-04
Business Address
KATHRYN ROSE GREEN SUDCC #10771
9462 VAN NUYS BLVD
VAN NUYS, CA 91402-1310
Phone number: 818-692-4999
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Mailing Address
KATHRYN ROSE GREEN SUDCC #10771
9462 VAN NUYS BLVD
VAN NUYS, CA 91402-1310
Phone number: 818-891-8555
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