Individual
MR. LEON K GREENE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6453 BROOKSIDE BLVD SE, MABLETON, GA 30126-3657
(678) 592-7507
Mailing address
6453 BROOKSIDE BLVD SE, MABLETON, GA 30126-3657
(678) 592-7507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13593
LA
1041C0700X
Clinical Social Worker
37302
TX
1041C0700X
Clinical Social Worker
Primary
CSW004708
GA
Other
Enumeration date
07/18/2011
Last updated
08/20/2024
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