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1750004248
SYDJEA M GREEN
SOUTHLAKE, TX
NPI
1750004248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 39576)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
Dr. SYDJEA M GREEN PhD
1230 N KIMBALL AVE STE 130
SOUTHLAKE, TX 76092-4707
Phone number: 833-667-7924
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Mailing Address
Dr. SYDJEA M GREEN PhD
126 FLOYD ST
BRENTWOOD, NY 11717-2646
Phone number: 631-336-0695
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