Most Relevant Information
Provider Data
| NPI Number: | 1003569906 |
| Provider Name: | TROYE ANTINIA GREEN LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801113951 |
Most Important Dates
| Enumeration Date: | 01/31/2022 |
| Last Updated: | 01/31/2022 |
Provider Practice Location
104 NORTH CT
MASON
MI
488541069
Practice Location Phone/Fax
| Phone: | 3136948415 |
| Fax: |
Provider Mailing Location
104 NORTH CT
MASON
MI
488541069
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |