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1518041771
DAVID L. GREEN
FAIRFIELD, CA
NPI
1518041771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 9264)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
-- DAVID L. GREEN Ph.D.
1101 B GALE WILSON BLVD STE 307
FAIRFIELD, CA 94533-3702
Phone number: 707-428-3435
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Mailing Address
-- DAVID L. GREEN Ph.D.
2685 LESLIE RD
SANTA ROSA, CA 95404-9607
Phone number: 707-575-5355
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