JOHN CHARLES GREEN

SHEBOYGAN, WI
NPI1841393659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  815-123)
Enumeration Date2006-09-07
Last Update Date2007-07-08
Business Address
-- JOHN CHARLES GREEN MSSW
601 S 8TH ST
SHEBOYGAN, WI 53081-4405
Phone number: 920-458-5062
Mailing Address
-- JOHN CHARLES GREEN MSSW
N6128 WOODLAND RD
SHEBOYGAN, WI 53083-3219
Phone number: 920-467-4978
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