Individual
LYNN M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1103 KING ST, GRANDVIEW, WA 98930-1460
(509) 882-5717
Mailing address
1103 KING ST, GRANDVIEW, WA 98930-1460
(509) 882-5717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00001509
WA
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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