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Individual
KAI JASON GREENE
Active
Individual
KAI JASON GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC SLP # 12045275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSHA # 29200
TX
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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