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Organization
GREEN DOT PUBLIC CORPERATION
Active
Organization
GREEN DOT PUBLIC CORPERATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAJA LEAH STOBAUGH LPCC 11615 (SCHOOL MENTAL HEALTH SUPERVISOR)
(775) 813-0108
Entity
Organization
Contact information
Practice address
820 BROADWAY ST, VENICE, CA 90291-3408
(310) 392-8751
Mailing address
2030 OCEAN PARK BLVD, SANTA MONICA, CA 90405-4914
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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