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1376822445
DOUGLAS GREEN
MANASSAS, VA
NPI
1376822445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: VA 0701005090)
Enumeration Date
2011-08-08
Last Update Date
2013-10-04
Business Address
MR. DOUGLAS GREEN MA, LPC
8715 PLANTATION LN STE 301 A
MANASSAS, VA 20110-8323
Phone number: 571-232-6506
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Mailing Address
MR. DOUGLAS GREEN MA, LPC
153 REDMON LN
FRONT ROYAL, VA 22630-4957
Phone number: 571-208-2056
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