Laresa Green

NPI #1841034295 in Ecorse, Michigan

Provider Information

NPI Number
1841034295
Entity Type
Individual
Name
Laresa Green
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Health Service
Enumeration Date
Jun 20, 2024
Last Updated
Jun 20, 2024

Practice Location

Address
4317 11TH ST
City
Ecorse
ZIP Code
48229-1162
Phone
(313) 520-5311

Specialties & Taxonomy Codes

Specialty
Psychologist - Health ServiceHealth Service

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