| Doctor Name: | MR. DAVID M GREEN |
| NPI Number: | 1003964354 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | 6801059507 |
| Business Practice Address: | 327 Hubbard St Allegan, MI - 490101289 |
| Business Phone Number: | 2696731929 |
| Business Fax Number: | 2696860373 |
| Mailing Address: | 327 Hubbard St, ALLEGAN |
| State: | MI |
| Postal Code: | 490101289 |
| Phone Number: | 2696731929 |
| Fax Number: | 2696860373 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801059507 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |