JACKIE GREENE

IRONTON, OH
NPI1922644566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  C.1902062-TRNE)
Enumeration Date2019-11-19
Last Update Date2019-12-02
Business Address
JACKIE GREENE CT
700 PARK AVE
IRONTON, OH 45638-1502
Phone number: 740-532-1613
Mailing Address
JACKIE GREENE CT
PO BOX 108
IRONTON, OH 45638-0108
Phone number:
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