Jennifer Green
Social Worker, Clinical in Livonia, MI. Individual provider (NPI-1).
NPI number1952804460
StatusActive
Last updated in NPPESMar 10, 2018
Details
- NPI
- 1952804460
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Green
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2018
- Last updated
- Mar 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 104100000X | Social Worker | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
33505 Schoolcraft RdLivonia, MI 48150-1630
Phone 844-296-2673
Mailing address
388 Cove View DrWaterford, MI 48327-3784
Phone 313-378-5812
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