Individual
MACENNA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
(216) 651-2037
Mailing address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
01/08/2020
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