Individual
MRS. ROSE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5307 TIMBER HAVEN LN, NEW ORLEANS, LA 70131-8571
(504) 782-5376
Mailing address
5307 TIMBER HAVEN LN, NEW ORLEANS, LA 70131-8571
(504) 782-5376
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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