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Individual

BRIAN EUGENE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DAOM, LCSW, L.AC

Contact information

Practice address
1684 E 14TH ST STE 207, SAN LEANDRO, CA 94577-4800
(415) 652-8214
Mailing address
1684 E 14TH ST STE 207, SAN LEANDRO, CA 94577-4800
(415) 652-8214

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29891
CA
171100000X
Acupuncturist
16841
CA

Other

Enumeration date
03/03/2023
Last updated
03/03/2023
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