MR. Maurice Lydell Green SR.

NPI #1003134354 in San Francisco, California

Provider Information

NPI Number: 1003134354
Entity Type: Individual
Name: MR. Maurice Lydell Green SR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 12, 2010
Last Updated: May 12, 2010

Practice Location

Address: 1801 VICENTE ST
City: San Francisco
State: California
ZIP Code: 94116-2923
Phone: (415) 681-3211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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