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Organization
GREEN FAMILY TREE, INC.
Active
Organization
GREEN FAMILY TREE, INC.
Active
Other names
Green Family Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA L GREEN SLP (EXECUTIVE DIRECTOR)
(888) 647-3622
Entity
Organization
Contact information
Practice address
2120 FOOTHILL BLVD STE 115, LA VERNE, CA 91750-2949
(888) 647-3622
Mailing address
2120 FOOTHILL BLVD STE 115, LA VERNE, CA 91750-2949
(888) 647-3622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
06/27/2019
Last updated
06/03/2024
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