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1639495898
MARVA RENEE GREEN
COMPTON, CA
NPI
1639495898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CACOM21435042411A)
Enumeration Date
2010-04-13
Last Update Date
2010-04-13
Business Address
-- MARVA RENEE GREEN
1315 N BULLIS RD SUITE 12
COMPTON, CA 90221-1650
Phone number: 310-609-2303
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Mailing Address
-- MARVA RENEE GREEN
1315 N BULLIS RD SUITE 12
COMPTON, CA 90221-1650
Phone number: 310-609-2303
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