Lauryn Alonna Lychelle Green

NPI #1841735529 in Allston, Massachusetts

Provider Information

NPI Number: 1841735529
Entity Type: Individual
Name: Lauryn Alonna Lychelle Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 4, 2017
Last Updated: Jan 4, 2017

Practice Location

Address: 14 FORDHAM RD
City: Allston
State: Massachusetts
ZIP Code: 02134-3006
Phone: (617) 782-6460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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