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1720500242
NICOLE GREENE
SOUTH LAKE TAHOE, CA
NPI
1720500242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2017-07-17
Last Update Date
2017-07-17
Business Address
NICOLE GREENE
2580 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-7727
Phone number: 530-544-2111
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Mailing Address
NICOLE GREENE
2580 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-7727
Phone number: 559-474-0272
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