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Jacqueline Green, LLMSW

Social Worker, Clinical in Detroit, MI. Individual provider (NPI-1).

NPI number1477831758
StatusActive
Last updated in NPPESAug 3, 2011

Details

NPI
1477831758
Entity type
Individual (NPI-1)
Name
Jacqueline Green
Credential
LLMSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 3, 2011
Last updated
Aug 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801093400MIYes

Practice location

10 Peterboro St
Detroit, MI 48201-2722

Phone 313-833-6269 · Fax 313-831-2604

Mailing address

10 Peterboro St
Detroit, MI 48201-2722

Phone 313-833-6269 · Fax 313-831-2604

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