Individual
MARY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3500 HADLEY ST, MONROE, LA 71202-4558
(318) 341-6029
Mailing address
3500 HADLEY ST, MONROE, LA 71202-4558
(318) 341-6029
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17380
LA
Other
Enumeration date
09/18/2020
Last updated
10/15/2024
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