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Individual
WILLIAM GREEN
Active
Individual
WILLIAM GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAADE
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
020634
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
04/09/2014
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