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Individual
DIANE GREEN
Active
Individual
DIANE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0125591
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M1919
—
NM
Enumeration date
10/16/2009
Last updated
10/16/2009
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