Individual
MS. SHIRLEY ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 990-5521
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 990-5521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3519
LA
Other
Enumeration date
08/10/2006
Last updated
09/24/2010
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