Individual
LORA L GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
314 ELLICOTT ST, BATAVIA, NY 14020-3650
(585) 815-0247
(585) 815-0251
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-1800
(716) 831-1818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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