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Individual
MR. WADE M GREEN JR.
Active
Individual
MR. WADE M GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, NCC, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2196
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521450500
—
MD
05
—
521450501
—
MD
Enumeration date
08/31/2006
Last updated
06/02/2009
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