Individual
BETHANY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5103 W PIERSON RD, SUITE 3, FLINT, MI 48504-1395
(810) 391-2923
Mailing address
5103 W PIERSON RD, SUITE 3, FLINT, MI 48504-1395
(810) 391-2923
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801066674
MI
1041S0200X
School Social Worker
Primary
6801066674
MI
Other
Enumeration date
02/20/2015
Last updated
09/10/2016
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