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1588308274
CHARITY FAITH GREEN
TAHLEQUAH, OK
NPI
1588308274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 8085-P)
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
CHARITY FAITH GREEN LMSW-P
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 539-234-3543
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Mailing Address
CHARITY FAITH GREEN LMSW-P
PO BOX 948
TAHLEQUAH, OK 74465-0948
Phone number: 539-234-3543
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