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1861765448
ANDREW L GREEN
LAKEWOOD, NJ
NPI
1861765448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NJ 44SC05492700)
Enumeration Date
2012-02-13
Last Update Date
2012-02-13
Business Address
ANDREW L GREEN LCSW
910 WOODLAND DR
LAKEWOOD, NJ 08701-3039
Phone number: 732-806-5630
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Mailing Address
ANDREW L GREEN LCSW
910 WOODLAND DR
LAKEWOOD, NJ 08701-3039
Phone number: 732-806-5630
Copy
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