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1801132816
ANGELIQUE EMIRITHA GREEN
KINGWOOD, TX
NPI
1801132816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10627)
Enumeration Date
2012-12-19
Last Update Date
2012-12-19
Business Address
Ms. ANGELIQUE EMIRITHA GREEN LCDC
2527 CHESTNUT RIDGE DR
KINGWOOD, TX 77339-3031
Phone number: 281-348-9008
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Mailing Address
Ms. ANGELIQUE EMIRITHA GREEN LCDC
2527 CHESTNUT RIDGE DR
KINGWOOD, TX 77339-3031
Phone number: 281-348-9008
Copy
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