MYRANDA SU GREEN

GRAND RAPIDS, MI
NPI1497312904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2019-05-21
Last Update Date2019-05-21
Business Address
MYRANDA SU GREEN LLMSW
385 LEONARD ST NE
GRAND RAPIDS, MI 49503-1129
Phone number: 616-591-4891
Mailing Address
MYRANDA SU GREEN LLMSW
385 LEONARD ST NE
GRAND RAPIDS, MI 49503-1129
Phone number: 616-591-4891