Individual
MR. BRUCE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
22900 BLAKENEY DR, PLAQUMINE, LA 70764
(225) 929-8669
Mailing address
22900 BLAKENEY DR, PLAQUEMINE, LA 70764-5235
(225) 929-8669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5998
LA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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