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1689780603
TIM GREEN
ESTERO, FL
NPI
1689780603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL mh7986)
Enumeration Date
2006-08-22
Last Update Date
2019-03-29
Business Address
TIM GREEN LMHC
9500 CORKSCREW PALMS CIR STE 3
ESTERO, FL 33928-3307
Phone number: 239-321-0797
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Mailing Address
TIM GREEN LMHC
229 AMBURY ST
FORT MYERS, FL 33913-7131
Phone number: 239-321-0797
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