SearchConnecticut101YA0400X

Michael Green, LADC

NPI 1811687247 · on the registry since 2023 · sole proprietor

Practice

Address
350 Graham St
Stratford, CT 06615
Phone
(203) 556-4632

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut