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Organization
KRISTIN GREEN
Active
Organization
KRISTIN GREEN
Active
Other names
California Speech Therapy, CA Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN GREEN (OWNER/DIRECTOR)
(949) 370-5677
Entity
Organization
Contact information
Practice address
417 ENCLAVE CIR, STE. 305, COSTA MESA, CA 92626-8180
(949) 370-5677
Mailing address
417 ENCLAVE CIR, STE. 305, COSTA MESA, CA 92626-8180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
06/16/2018
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