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Organization
STILLWATER GROUP INC
Active
Organization
STILLWATER GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA C GREEN PH.D. (CEO)
(310) 378-2520
Entity
Organization
Contact information
Practice address
2100 N SEPULVEDA BLVD, SUITE 30, MANHATTAN BEACH, CA 90266-2948
(310) 378-2520
Mailing address
2100 N SEPULVEDA BLVD, SUITE 30, MANHATTAN BEACH, CA 90266-2948
(310) 378-2520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT35443
CA
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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