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1467589275
MICHAEL GREEN
SAN LEANDRO, CA
NPI
1467589275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 36428)
Enumeration Date
2007-02-28
Last Update Date
2007-07-09
Business Address
Mr. MICHAEL GREEN MFT
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577-4611
Phone number: 510-352-9200
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Mailing Address
Mr. MICHAEL GREEN MFT
1920 BLOSSOM CT
FAIRFIELD, CA 94533-8009
Phone number: 707-330-5488
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