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Individual

DYNA MARCELUS GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1951 NW 7TH AVE FL 3, MIAMI, FL 33136-1104
(305) 902-6347
Mailing address
8290 GATE PKWY W UNIT 914, JACKSONVILLE, FL 32216-3649
(904) 535-8996

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
SW18068
FL
1041C0700X
Clinical Social Worker
FL
1041S0200X
School Social Worker
FL

Other

Enumeration date
08/04/2020
Last updated
07/01/2025
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