Individual
MRS. CHARLENE JACKSON GREENLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S BROAD ST, NEW ORLEANS, LA 70119-6447
(504) 731-1607
(504) 910-3065
Mailing address
116 GRAMBLING CT, AVONDALE, LA 70094-2538
(504) 265-2843
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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