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1417578956
JENNIFER GREEN
ALEXANDRIA, LA
NPI
1417578956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business Address
JENNIFER GREEN
3600 JACKSON ST STE 111B
ALEXANDRIA, LA 71303-3000
Phone number: 318-483-4155
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Mailing Address
JENNIFER GREEN
516 DASPIT ST
ALEXANDRIA, LA 71302-5335
Phone number:
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