KENNETH JAMES GREEN

INDIANAPOLIS, IN
NPI1972828895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34005965A)
Enumeration Date2010-04-03
Last Update Date2010-08-29
Business Address
Mr. KENNETH JAMES GREEN LCSW
2505 W 71ST ST
INDIANAPOLIS, IN 46268-2344
Phone number: 317-731-2505
Mailing Address
Mr. KENNETH JAMES GREEN LCSW
2505 W 71ST ST
INDIANAPOLIS, IN 46268-2344
Phone number: 317-731-2505
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