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1831311265
SUSAN GAIL GREEN
CEDAR BLUFF, VA
NPI
1831311265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- SUSAN GAIL GREEN M.A.
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609-9622
Phone number: 276-963-3554
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Mailing Address
-- SUSAN GAIL GREEN M.A.
4192 ROCK RIVER RD
ROCK, WV 24747-9739
Phone number: 304-589-3761
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