Individual provider · NPI-1
Marjorie Ellen Greene, LMSW
Social Worker, Clinical · Ann Arbor, MI
NPI number1861552283
StatusActive
Last updated in NPPESOct 24, 2011
Details
- NPI
- 1861552283
- Entity type
- Individual (NPI-1)
- Name
- Marjorie Ellen Greene
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2006
- Last updated
- Oct 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801012254 | MI | Yes |
| 106H00000X | Marriage & Family Therapist | 4101005554 | MI |
Practice location
400 N 1st StAnn Arbor, MI 48103-3304
Phone 734-668-8667
Mailing address
2851 Parkridge DrAnn Arbor, MI 48103-1734
Phone 734-663-8518
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