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1437609047
DOMONICK K GREEN
LONG BEACH, CA
NPI
1437609047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 118824)
Enumeration Date
2016-10-06
Last Update Date
2021-01-28
Business Address
Mr. DOMONICK K GREEN LMFT
1501 HUGHES WAY STE 150
LONG BEACH, CA 90810-1878
Phone number: 310-221-6336
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Mailing Address
Mr. DOMONICK K GREEN LMFT
1601 N SEPULVEDA BLVD # 521
MANHATTAN BEACH, CA 90266-5111
Phone number: 310-940-6312
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