TRACEY LOUISE GREEN

DETROIT, MI
NPI1295136729
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MI  4704290410)
Enumeration Date2014-09-16
Last Update Date2021-10-20
Business Address
TRACEY LOUISE GREEN PMHNP
882 OAKMAN BLVD STE D
DETROIT, MI 48238-4019
Phone number: 313-961-7990
Mailing Address
TRACEY LOUISE GREEN PMHNP
35870 SHERBORNE DR
CLINTON TOWNSHIP, MI 48035-3565
Phone number: 586-224-4595
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