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1588318794
JALISA GREEN
CAPE CORAL, FL
NPI
1588318794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH21269)
Enumeration Date
2022-02-07
Last Update Date
2022-02-07
Business Address
JALISA GREEN CMHC-RI
5789 CAPE HARBOUR DR STE 201
CAPE CORAL, FL 33914-8607
Phone number: 727-469-3329
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Mailing Address
JALISA GREEN CMHC-RI
5789 CAPE HARBOUR DR STE 201
CAPE CORAL, FL 33914-8607
Phone number: 727-469-3329
Copy
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