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Individual

DELORES KELLI GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
35 W 4TH AVE, COLUMBUS, OH 43201-3212
(614) 421-3155
Mailing address
1301 N HIGH ST, COLUMBUS, OH 43201-2460
(614) 299-6600

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
031149
OH

Other

Enumeration date
03/14/2018
Last updated
03/14/2018
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