Individual
LAKEN D GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MARCUS DR STE 308, GREENVILLE, SC 29615-6946
(864) 631-2084
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 361-4000
(615) 815-1946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
02/21/2022
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