MARVIN LEONARD GREEN

CHICAGO, IL
NPI1821783093
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  22756)
Enumeration Date2023-04-05
Last Update Date2023-04-05
Business Address
Mr. MARVIN LEONARD GREEN CADC
4259 S BERKELEY AVE
CHICAGO, IL 60653-3030
Phone number: 312-337-1073
Mailing Address
Mr. MARVIN LEONARD GREEN CADC
1276 N CLYBOURN AVE
CHICAGO, IL 60610-2003
Phone number: 312-337-1073
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