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1265887483
TANECA GREEN
SHREVEPORT, LA
NPI
1265887483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-04-25
Last Update Date
2016-04-25
Business Address
TANECA GREEN
1717 MARSHALL ST
SHREVEPORT, LA 71101-4139
Phone number: 318-226-9944
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Mailing Address
TANECA GREEN
1717 MARSHALL ST
SHREVEPORT, LA 71101-4139
Phone number: 318-226-9944
Copy
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