Individual
MS. JADE ALEXIS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
(313) 388-4630
Mailing address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
(313) 388-4630
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851114352
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/26/2021
Last updated
04/26/2022
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