Individual
MS. MIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.C.C.
Contact information
Practice address
5606 SHIELDS DR, BETHESDA, MD 20817-3571
(301) 493-0023
Mailing address
4301 VERPLANCK PL NW, WASHINGTON, DC 20016-2427
(202) 246-2467
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06343
MD
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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