Lonnelle Antonio Green I

NPI #1144400359 in Easton, Maryland

Provider Information

NPI Number
1144400359
Entity Type
Individual
Name
Lonnelle Antonio Green I
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Nov 6, 2007
Last Updated
Nov 6, 2007

Practice Location

Address
29516 CANVASBACK DR
City
Easton
ZIP Code
21601-7140
Phone
(410) 822-5007

Specialties & Taxonomy Codes

Specialty
Counselor

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