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1811476898
MICHELLE GREEN
DIAMOND SPRINGS, CA
NPI
1811476898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
MICHELLE GREEN
484 MAIN ST STE 4
DIAMOND SPRINGS, CA 95619-9101
Phone number: 530-344-7633
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Mailing Address
MICHELLE GREEN
484 MAIN ST STE 4
DIAMOND SPRINGS, CA 95619-9101
Phone number: 530-344-7633
Copy
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