Most Relevant Information
Provider Data
| NPI Number: | 1003287194 |
| Provider Name: | LA VONDRA GREEN MSW,CSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/14/2015 |
| Last Updated: | 04/20/2018 |
Provider Practice Location
1538 LOUISIANA AVE
NEW ORLEANS
LA
701153553
Practice Location Phone/Fax
| Phone: | 5048962345 |
| Fax: | 5048962240 |
Provider Mailing Location
1538 LOUISIANA AVE
NEW ORLEANS
LA
701153553
Provider Mailing Phone/Fax
| Phone: | 5048962345 |
| Fax: | 5048962240 |