Green, Roary Xavier
Green, Roary Xavier is an sole proprietor health care provider with primary practice located at 11202 Brydan St Apt 6, Taylor MI 48180-6240. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Green, Roary Xavier can be contacted via phone (313) 622-5521.Contact Information
Primary practice address
11202 Brydan St Apt 6
Taylor MI 48180-6240
Phone: (313) 622-5521
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6801080908 | Michigan |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801080908 | Michigan |
Behavioral Health & Social Service Providers / School | 1041S0200X | 6801080908 | Michigan |
Profile Details
NPI number | 1558693903 |
---|---|
LBN Legal business name | Green, Roary Xavier |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 10th, 2010 |
Last updated | Feb 10th, 2010 - about 14 years 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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