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1376948059
KATHLEEN GREEN
FORT MYERS, FL
NPI
1376948059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-24
Last Update Date
2014-12-12
Business Address
-- KATHLEEN GREEN M.A.
2789 ORTIZ AVE
FORT MYERS, FL 33905-7806
Phone number: 239-275-3222
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Mailing Address
-- KATHLEEN GREEN M.A.
3763 EVANS AVE
FORT MYERS, FL 33901-9302
Phone number: 239-791-1586
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