MICHAEL GEORGE GREEN

STRATFORD, CT
NPI1811687247
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  1498)
Enumeration Date2023-05-09
Last Update Date2023-05-09
Business Address
MICHAEL GEORGE GREEN LADC
350 GRAHAM ST
STRATFORD, CT 06615-5500
Phone number: 203-556-4632
Mailing Address
MICHAEL GEORGE GREEN LADC
350 GRAHAM ST
STRATFORD, CT 06615-5500
Phone number: 203-556-4632
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