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NPI Profile for WADE M GREEN JR in LA PLATA, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1033221676 |
|
| Status | Active | |
| Credentials | MA, NCC, LCPC | |
| Entity | Individual | |
| Enumeration date | 08/31/2006 | |
| Last updated | 06/02/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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WADE M GREEN JR
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WADE M GREEN JR, MA, NCC, LCPC