Individual
MS. MICHELLE JESSICA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., M.S.W.
Contact information
Practice address
340 MAIN STREET, SUITE 818, WORCESTER, MA 01608
(508) 791-4976
Mailing address
340 MAIN STREET, SUITE 818, WORCESTER, MA 01608
(508) 450-9127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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