Individual
THORA GREAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
107 WATER ST, SUITE #206, BENTON HARBOR, MI 49022-3451
(269) 861-5084
(269) 934-0557
Mailing address
107 WATER ST, SUITE #206, BENTON HARBOR, MI 49022-3451
(269) 861-5084
(269) 934-0557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801077510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639385263
—
MI
Enumeration date
05/14/2007
Last updated
08/25/2016
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