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1407129687
KIMBERLY NICOLE GREEN-RUSSELL
LOS ANGELES, CA
NPI
1407129687
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Former Name
KIMBERLY NICOLE GREEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 80853)
Enumeration Date
2012-02-17
Last Update Date
2021-05-18
Business Address
KIMBERLY NICOLE GREEN-RUSSELL LMFT
510 S. VERMONT AVENUE
LOS ANGELES, CA 90020-1912
Phone number: 213-842-0333
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Mailing Address
KIMBERLY NICOLE GREEN-RUSSELL LMFT
PO BOX 88591
LOS ANGELES, CA 90009-8591
Phone number: 323-513-3428
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