JUANITA ROSALYN GREEN

SHREVEPORT, LA
NPI1992267611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: LA  6010)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2019-04-02
Last Update Date2021-11-23
Business Address
Mrs. JUANITA ROSALYN GREEN PPS
4571 N MARKET ST
SHREVEPORT, LA 71107-2917
Phone number: 318-424-8973
Mailing Address
Mrs. JUANITA ROSALYN GREEN PPS
10669 WILLOW CREEK RD
MORENO VALLEY, CA 92557-2953
Phone number: 951-269-7988
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