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1902567175
ANDRE GREEN
DURHAM, NC
NPI
1902567175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-01-10
Last Update Date
2022-01-10
Business Address
ANDRE GREEN
1822 NC- 54 UNIT 100
DURHAM, NC 27713
Phone number: 919-474-6400
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Mailing Address
ANDRE GREEN
1923 BLACKWOLF RUN LN
RALEIGH, NC 27604-5405
Phone number: 919-491-2455
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