Individual
LAVON E WASHINGTON GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4721 SE 45TH ST, OKLAHOMA CITY, OK 73135-3129
(405) 924-0984
Mailing address
4721 SE 45TH ST, OKLAHOMA CITY, OK 73135-3129
(405) 924-0984
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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