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1174973150
LACY GREEN
LITTLE ROCK, AR
NPI
1174973150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 8038-C)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-06-21
Last Update Date
2020-12-29
Business Address
LACY GREEN
1719 MERRILL DR
LITTLE ROCK, AR 72212-4009
Phone number: 501-663-2199
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Mailing Address
LACY GREEN
2809 FOREST HOME RD
JONESBORO, AR 72401-5320
Phone number: 866-972-1268
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