Individual
FELICIA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3542 FAIRVIEW ST, DETROIT, MI 48214-3539
(313) 415-6924
Mailing address
3542 FAIRVIEW ST, DETROIT, MI 48214-3539
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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