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Individual

MRS. LORI TERESA GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
109 FORD ST, OMHC, OGDENSBURG, NY 13669-1419
(315) 394-0101
(315) 394-0097
Mailing address
109 FORD ST, OMHC, OGDENSBURG, NY 13669-1419
(315) 394-0101
(315) 394-0097

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
490224
NY

Other

Enumeration date
04/08/2010
Last updated
04/08/2010
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