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Organization

LANDRIA GREEN, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LANDRIA SEALS GREEN (PRESIDENT)
(248) 919-8627
Entity
Organization

Contact information

Practice address
42861 STRATFORD DR, BELLEVILLE, MI 48111-1729
(248) 919-8627
Mailing address
42861 STRATFORD DR, BELLEVILLE, MI 48111-1729

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
235Z00000X
Speech-Language Pathologist
71010000784
MI

Other

Enumeration date
03/27/2015
Last updated
09/27/2016
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