Mary Green, LCSW
Social Worker, Clinical in Monroe, LA. Individual provider (NPI-1).
NPI number1346856960
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1346856960
- Entity type
- Individual (NPI-1)
- Name
- Mary Green
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2020
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 17380 | LA | Yes |
Practice location
3500 Hadley StMonroe, LA 71202-4558
Phone 318-341-6029
Mailing address
3500 Hadley StMonroe, LA 71202-4558
Phone 318-341-6029
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