RANDY GREEN

BASTROP, LA
NPI1053763102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-07-12
Last Update Date2018-06-06
Business Address
RANDY GREEN
410 S FRANKLIN ST
BASTROP, LA 71220
Phone number: 318-410-1062
Mailing Address
RANDY GREEN
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA 71112-2497
Phone number: 318-746-1935
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