Individual
JULIA G GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2106 LOOP ROAD, WINNSBORO, LA 71295
(318) 435-9411
Mailing address
2104 LOOP ROAD, SUITE C, WINNSBORO, LA 71295
(318) 435-4571
(318) 435-7458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2201
LA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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