Individual
LAURA E. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 222-3522
Mailing address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 222-3522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015371
MI
101YP2500X
Professional Counselor
65399
TX
Other
Enumeration date
10/20/2009
Last updated
04/05/2016
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