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Individual

LAURA M GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3013 VOGUE AVE, LOUISVILLE, KY 40220-2533
(502) 780-3846
Mailing address
3013 VOGUE AVE, LOUISVILLE, KY 40220-2533
(502) 780-3846

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
08/17/2020
Last updated
08/18/2020
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