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Individual

MR. DOUGLAS JAMES GREEN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
555 WINDSOR ST, HARTFORD, CT 06120-2418
(860) 560-5600
Mailing address
555 WINDSOR ST, HARTFORD, CT 06120-2418
(860) 560-5600

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
071
CT

Other

Enumeration date
09/21/2022
Last updated
09/21/2022
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