Individual
CASSANDRA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2150 S COUNTRY CLUB DR STE 34, MESA, AZ 85210-6885
(480) 662-6708
Mailing address
2150 S COUNTRY CLUB DR STE 34, MESA, AZ 85210-6885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-22912
AZ
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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