Individual
MS. LYNNE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
17155 FAUST AVE, DETROIT, MI 48219-3502
(313) 303-1805
Mailing address
17155 FAUST AVE, DETROIT, MI 48219-3502
(313) 303-1805
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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