LYDIA J. GREEN

DETROIT, MI
NPI1992380851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-03-12
Last Update Date2021-03-12
Business Address
LYDIA J. GREEN
707 W MILWAUKEE ST
DETROIT, MI 48202-2943
Phone number: 313-833-2500
Mailing Address
LYDIA J. GREEN
8148 CHEYENNE ST
DETROIT, MI 48228-2788
Phone number: 313-404-2351
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