Individual
JOEL GREENE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2701 JOHNSTON ST, LAFAYETTE, LA 70503-3263
(337) 446-4707
(337) 446-4715
Mailing address
2701 JOHNSTON ST, LAFAYETTE, LA 70503-3263
(337) 446-4707
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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