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Individual
MR. ANDREW EDMOND GREENLEE I
Active
Individual
MR. ANDREW EDMOND GREENLEE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA., MED., LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401004038
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740313238
PROVIDER ID
MI
05
—
36022440
—
MI
Enumeration date
10/31/2007
Last updated
10/31/2007
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