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1407492978
HEATHER L GREEN
SYRACUSE, NY
NPI
1407492978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 28998)
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
HEATHER L GREEN
2112 ERIE BLVD E STE 200
SYRACUSE, NY 13224-1041
Phone number: 315-472-1212
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Mailing Address
HEATHER L GREEN
2112 ERIE BLVD E STE 200
SYRACUSE, NY 13224-1041
Phone number: 315-472-1212
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