Individual
PAMELA DENISE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
307 HAYES ST, RAYVILLE, LA 71269-2531
(318) 728-5488
(318) 728-6828
Mailing address
307 HAYES ST, RAYVILLE, LA 71269-2531
(318) 728-5488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6570
LA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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