Green, Laresa

Green, Laresa is an individual health care provider with primary practice located at 4317 11Th St , Ecorse MI 48229-1162. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Green, Laresa can be contacted via phone (313) 520-5311.

Contact Information

Primary practice address
4317 11Th St Ecorse MI 48229-1162
Phone: (313) 520-5311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X

Profile Details

NPI number 1841034295
LBN Legal business name Green, Laresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2024
Last updated Jun 20th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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