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Individual

MICHAEL CRAIG GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAC-AD

Contact information

Practice address
1831 FOREST DR STE B, ANNAPOLIS, MD 21401-4430
(410) 975-9104
Mailing address
1831 FOREST DR STE B, ANNAPOLIS, MD 21401-4430
(410) 975-9104

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC001930
MD

Other

Enumeration date
07/28/2013
Last updated
07/28/2013
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