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1992026249
DIANE J GREEN
WILLIAMSBURG, VA
NPI
1992026249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701004798)
Enumeration Date
2010-06-21
Last Update Date
2021-11-04
Business Address
-- DIANE J GREEN LPC
1657 MERRIMAC TRL
WILLIAMSBURG, VA 23185-5624
Phone number: 757-220-3200
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Mailing Address
-- DIANE J GREEN LPC
201 BRITTANIA DR
WILLIAMSBURG, VA 23185-5789
Phone number: 757-220-3200
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