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Individual
MR. MICHAEL GREENE
Active
Individual
MR. MICHAEL GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
073545-1
NY
1041C0700X
Clinical Social Worker
Primary
44SC05430800
NJ
Other
Enumeration date
07/28/2010
Last updated
08/31/2010
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