Individual
KELLI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2708 NE 14TH STREET, SUITE 5, BUTTERFLY EFFECTS, POMPANO BEACH, FL 33062
(888) 880-9270
Mailing address
1735 HORNE AVE, SALT LAKE CITY, UT 84106-3733
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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