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Anthony Green

Case Manager/Care Coordinator in Dayton, OH. Individual provider (NPI-1).

NPI number1104690668
StatusActive
Last updated in NPPESNov 14, 2023

Details

NPI
1104690668
Entity type
Individual (NPI-1)
Name
Anthony Green
Sex
Male
Sole proprietor
No
Enumeration date
Nov 14, 2023
Certification date
Nov 14, 2023
Last updated
Nov 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

605 S Patterson Blvd
Dayton, OH 45402-2649

Phone 937-395-4600

Mailing address

605 S Patterson Blvd
Dayton, OH 45402-2649

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