Individual
JILL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
400 W CUMMINGS PARK, WOBURN, MA 01801-6519
(781) 933-8800
Mailing address
13530 82ND DR, JAMAICA, NY 11435-1468
(718) 849-2464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009793
NY
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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