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1891274270
MELANE GREEN
SHREVEPORT, LA
NPI
1891274270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-08-07
Last Update Date
2018-12-07
Business Address
MELANE GREEN
2715 MACKEY PL STE 135
SHREVEPORT, LA 71118-2528
Phone number: 318-220-8423
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Mailing Address
MELANE GREEN
2715 MACKEY PL
SHREVEPORT, LA 71118-2544
Phone number: 318-220-8423
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