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Individual

HEATH A GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LBSW, MA

Contact information

Practice address
6051 FRANKFORT HWY, SUITE 200, BENZONIA, MI 49616-9558
(877) 398-2013
Mailing address
2513 MOMENTUM PL, CHICAGO, IL 60689-0001
(231) 935-6380

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009334
MI
104100000X
Social Worker
6802074656
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401009334
STATE OF MICHIGAN
MI
Enumeration date
07/17/2007
Last updated
02/24/2026
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