CRYSTAL LACEY GREEN

DAYTON, OH
NPI1558874479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  CDCA.163262)
Enumeration Date2017-11-14
Last Update Date2017-11-14
Business Address
CRYSTAL LACEY GREEN CDCA
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-1737
Mailing Address
CRYSTAL LACEY GREEN CDCA
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-1737
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