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Individual
MICHAELA GREENE
Active
Individual
MICHAELA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6848
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13974
NC BCBS
NC
05
—
7412346
—
NC
Enumeration date
08/22/2005
Last updated
09/27/2007
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