GORDON GUY GREEN

CLARINDA, IA
NPI1427279124
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: NE  133)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
GORDON GUY GREEN M.S.
1800 N 16TH ST
CLARINDA, IA 51632-1165
Phone number: 712-542-2388
Mailing Address
GORDON GUY GREEN M.S.
1102 SYCAMORE ST
TARKIO, MO 64491-1250
Phone number: 712-303-7907
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