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Individual

MS. SHECOLBY LEMAY GREEN I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6900 MCGRAW ST, DETROIT, MI 48210-1936
(313) 895-2860
(313) 895-2867
Mailing address
5517 JOHN C LODGE FWY, DETROIT, MI 48202-3346
(313) 492-2781
(313) 895-2867

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
10/10/2014
Last updated
07/12/2022
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