Individual
LAKEISHA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
555 STOCKTON ST, JACKSONVILLE, FL 32204-2534
(904) 387-4661
Mailing address
1000 ISLAND POINT DR APT 713, JACKSONVILLE, FL 32218-5652
(334) 313-5142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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