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1902921299
JAMES THEODORE GREEN
CHICAGO, IL
NPI
1902921299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.004523)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Mr. JAMES THEODORE GREEN LCPC
7400 S RACINE AVE SUITE 101
CHICAGO, IL 60636-4114
Phone number: 773-874-9715
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Mailing Address
Mr. JAMES THEODORE GREEN LCPC
7400 S RACINE AVE SUITE 101
CHICAGO, IL 60636-4114
Phone number: 773-874-9715
Copy
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