SEAN-MICHAEL GREEN

CHAMPAIGN, IL
NPI1386362390
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: IL  178.018204)
Enumeration Date2022-08-16
Last Update Date2022-08-16
Business Address
SEAN-MICHAEL GREEN
206 N RANDOLPH ST
CHAMPAIGN, IL 61820-3949
Phone number: 217-290-5402
Mailing Address
SEAN-MICHAEL GREEN
4301 187TH PL
COUNTRY CLUB HILLS, IL 60478-5657
Phone number:
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