DEWAYNE C GREEN

ELYRIA, OH
NPI1801395496
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  141205)
Enumeration Date2018-02-08
Last Update Date2018-02-08
Business Address
DEWAYNE C GREEN
41641 N RIDGE RD STE B
ELYRIA, OH 44035-1264
Phone number: 440-324-7406
Mailing Address
DEWAYNE C GREEN
19333 VAN AKEN BLVD
SHAKER HTS, OH 44122-3579
Phone number: 216-513-7223
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