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Organization
JOHN J GREEN
Active
Organization
JOHN J GREEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J GREEN LCSW-R (PSYCHOTHERAPIST)
(845) 707-2542
Entity
Organization
Contact information
Practice address
390 BROADWAY, MONTICELLO, NY 12701-1157
(845) 707-2542
Mailing address
98 DWYER AVE, LIBERTY, NY 12754-1506
(845) 707-2542
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0714321
NY
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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