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1508822628
MARVIN L GREEN
GOOSE CREEK, SC
NPI
1508822628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 4189)
Enumeration Date
2006-04-26
Last Update Date
2007-07-08
Business Address
-- MARVIN L GREEN LPC
179 FOX CHASE DR
GOOSE CREEK, SC 29445-5413
Phone number: 843-830-2979
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Mailing Address
-- MARVIN L GREEN LPC
179 FOX CHASE DR
GOOSE CREEK, SC 29445-5413
Phone number: 843-830-2979
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