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Individual
STEPHANIE GREEN
Active
Individual
STEPHANIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801122864
MI
104100000X
Social Worker
Primary
6851116023
MI
Other
Enumeration date
06/27/2023
Last updated
08/25/2026
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