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1942871611
MARYBETH GREEN
FORT COLLINS, CO
NPI
1942871611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 0001845)
Enumeration Date
2021-07-05
Last Update Date
2021-07-05
Business Address
MARYBETH GREEN LAC
4515 HIBISCUS ST
FORT COLLINS, CO 80526-4137
Phone number: 970-231-4077
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Mailing Address
MARYBETH GREEN LAC
PO BOX 270918
FORT COLLINS, CO 80527-0918
Phone number: 970-599-1015
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