Individual
MS. KATESHIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
242 W SHAMROCK AVE UNIT 1, PINEVILLE, LA 71360-6439
(318) 484-6850
(318) 484-6506
Mailing address
PO BOX 7118, ALEXANDRIA, LA 71306-0118
(318) 484-6850
(318) 484-6506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10991
LA
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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