Individual
MICHAEL GREAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6932 ANDERSONS WAY APT 201, LAUREL, MD 20707-6957
(910) 479-6447
Mailing address
3109 MLK JR AVE SE # DC, WASHINGTON, DC 20032-1573
(910) 479-6447
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
07/23/2024
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