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1992269039
MICHAEL GREEN
HAZEL CREST, IL
NPI
1992269039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
MICHAEL GREEN CADC, MISA
17100 DIXIE HWY STE D
HAZEL CREST, IL 60429-1485
Phone number: 708-335-1155
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Mailing Address
MICHAEL GREEN CADC, MISA
17100 DIXIE HWY STE D
HAZEL CREST, IL 60429-1485
Phone number: 708-335-1155
Copy
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