TRACY GREEN

SHREVEPORT, LA
NPI1164895637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
-- TRACY GREEN
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-638-9568
Mailing Address
-- TRACY GREEN
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: