Individual
MS. MAGGIE JEAN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.M., LPC, NCC
Contact information
Practice address
64 WINTONBURY AVE, BLOOMFIELD, CT 06002-2522
(860) 243-1007
(860) 243-1007
Mailing address
64 WINTONBURY AVE, BLOOMFIELD, CT 06002-2522
(860) 243-1007
(860) 243-1007
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002323
CT
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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