JENNIFER JEAN GREEN

SHREVEPORT, LA
NPI1922547660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-02-14
Last Update Date2023-09-13
Business Address
JENNIFER JEAN GREEN
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-221-5565
Mailing Address
JENNIFER JEAN GREEN
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-429-6938