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 |