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1578878849
MICHELL GREENIDGE
JBSA RANDOLPH, TX
NPI
1578878849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VT 089.0101145)
Enumeration Date
2010-08-11
Last Update Date
2021-12-21
Business Address
MICHELL GREENIDGE LCSW
221 3RD ST W
JBSA RANDOLPH, TX 78150-4800
Phone number: 210-565-0696
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Mailing Address
MICHELL GREENIDGE LCSW
221 3RD ST W
JBSA RANDOLPH, TX 78150-4800
Phone number: 210-565-0696
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