Individual
ALLISON GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3096 12 MILE RD, BERKLEY, MI 48072-1302
(248) 556-5332
Mailing address
1001 N ADAMS RD, BIRMINGHAM, MI 48009-5653
(248) 930-9959
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
373H00000X
Day Training/Habilitation Specialist
—
MI
385H00000X
Respite Care
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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