LARRY GREEN

LUVERNE, MN
NPI1740382704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  LP1054)
Enumeration Date2006-09-01
Last Update Date2007-07-08
Business Address
-- LARRY GREEN LP
216 E LUVERNE ST
LUVERNE, MN 56156-1610
Phone number: 507-283-9511
Mailing Address
-- LARRY GREEN LP
216 E LUVERNE ST PO BOX 686
LUVERNE, MN 56156-1610
Phone number: 507-283-9511
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