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Individual

MRS. DEBORAH JEANNE GREENHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
4255 NORTHFIELD RD, HIGHLAND HILLS, OH 44128-2811
(216) 292-9700
Mailing address
21785 DALEVIEW DR, NOVI, MI 48374-3901
(248) 449-7250

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 2388
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11490120
CAQH
OH
Enumeration date
12/08/2006
Last updated
07/08/2007
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