Laresa Green
Laresa Green is a Health Service Psychologist in Ecorse, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4317 11th StEcorse, MI 48229-1162
Phone: (313) 520-5311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Psychologist (primary) | Taxonomy 103TH0100X |
|---|
Record details
| NPI number | 1841034295 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 20, 2024 |
| Last updated in NPPES | June 20, 2024 |
| Certification date | June 20, 2024 |
| Mailing address | 4317 11th St, Ecorse, MI 48229-1162 |