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1619281979
LARRY GREEN
GAINESVILLE, FL
NPI
1619281979
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Professional Name
LARRY GREEN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL MT2733)
Enumeration Date
2010-07-28
Last Update Date
2019-10-02
Business Address
LARRY GREEN LMFT
1001 NE 16TH AVE
GAINESVILLE, FL 32601-2511
Phone number: 352-448-9120
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Mailing Address
LARRY GREEN LMFT
18015 SW 95TH AVE
ARCHER, FL 32618-3407
Phone number: 352-448-9120
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