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1497429856
JUSTIN FENDELL GREEN
FAYETTEVILLE, NC
NPI
1497429856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P016409)
Enumeration Date
2021-08-08
Last Update Date
2021-08-08
Business Address
JUSTIN FENDELL GREEN LCSWA
2525 RAEFORD RD STE 2
FAYETTEVILLE, NC 28305-5091
Phone number: 910-835-6895
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Mailing Address
JUSTIN FENDELL GREEN LCSWA
6480 KELMSCOT CT
FAYETTEVILLE, NC 28303-5674
Phone number: 910-835-6895
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