KENNETH GREEN

CAPE GIRARDEAU, MO
NPI1427229194
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  003361)
Enumeration Date2008-03-20
Last Update Date2008-03-20
Business Address
-- KENNETH GREEN LCSW
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703-5725
Phone number: 573-332-0808
Mailing Address
-- KENNETH GREEN LCSW
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703-5725
Phone number: 573-332-0808
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