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Provider Information for 1639614522


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EMILEE T GREENMAN LMSW


Sex: Female

NPI: 1639614522
Last Updated: 2024-01-08
Certification Date: 2024-01-08

Details

NameValue
NPI1639614522
Enumeration Date2016-12-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 16115 BURTON CT
LIVONIA, MI 48154-2732
United States

Phone: 586-202-1145 | Fax:
 
Primary Practice Address 26105 ORCHARD LAKE RD STE 207
FARMINGTON HILLS, MI 48334-4578
United States

Phone: 586-202-1145 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalMI6801116591