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1962952879
TONIKA GREEN
VIDALIA, LA
NPI
1962952879
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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
2016-10-04
Last Update Date
2021-07-23
Business Address
Mrs. TONIKA GREEN
1644 CARTER ST # B
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
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Mailing Address
Mrs. TONIKA GREEN
1644 CARTER ST # B
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
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