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1407621618
JOHN CHRISTOPHER GREEN
DES MOINES, IA
NPI
1407621618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 118677)
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
JOHN CHRISTOPHER GREEN
3600 30TH ST
DES MOINES, IA 50310-5753
Phone number: 515-699-5999
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Mailing Address
JOHN CHRISTOPHER GREEN
14421 SUMMIT DR
CLIVE, IA 50325-7743
Phone number: 904-294-1764
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