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1922547660
JENNIFER JEAN GREEN
SHREVEPORT, LA
NPI
1922547660
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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
2017-02-14
Last Update Date
2023-09-13
Business Address
JENNIFER JEAN GREEN
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-221-5565
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Mailing Address
JENNIFER JEAN GREEN
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-429-6938
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