IDA LAWANDA GREEN

NOVATO, CA
NPI1841573151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  ASW79071)
Enumeration Date2011-09-22
Last Update Date2021-11-29
Business Address
IDA LAWANDA GREEN
1682 NOVATO BLVD STE 105
NOVATO, CA 94947-0001
Phone number: 415-454-2152
Mailing Address
IDA LAWANDA GREEN
1682 NOVATO BLVD STE 105
NOVATO, CA 94947-0001
Phone number: 415-473-5365
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