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1174654693
ANGELA GREEN
DETROIT, MI
NPI
1174654693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- ANGELA GREEN
18609 W 7 MILE RD
DETROIT, MI 48219-2702
Phone number: 313-532-8015
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Mailing Address
-- ANGELA GREEN
16175 W PARKWAY ST
DETROIT, MI 48219-3733
Phone number:
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