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Individual

MRS. MOLLY BETH GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC/SLP

Contact information

Practice address
200 GASTON AVE, FAIRMONT, WV 26554-2739
(304) 624-6554
(304) 624-5223
Mailing address
1201 N 15TH ST, CLARKSBURG, WV 26301-1989
(304) 624-6554
(304) 624-5223

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
WV

Other

Enumeration date
02/27/2012
Last updated
07/21/2022
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