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1629122395
MARY LOU GREEN
COLUMBIA, SC
NPI
1629122395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SC 3045)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Ms. MARY LOU GREEN LMSW MSW
1919 GADSDEN ST
COLUMBIA, SC 29202-8462
Phone number: 803-779-5356
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Mailing Address
Ms. MARY LOU GREEN LMSW MSW
PO BOX 8462 1919 GADSDEN STREET
COLUMBIA, SC 29202-8462
Phone number: 803-779-5356
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