Individual
LESLIE HURST GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1200 S ACADIAN THRUWAY STE 213, BATON ROUGE, LA 70806-6900
(225) 223-9802
Mailing address
15205 BEAUTYBERRY AVE, BATON ROUGE, LA 70817
(225) 223-9802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15355
LA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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