Individual
CYNTHIA S GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1015 PEBBLE CREEK TRL, SUWANEE, GA 30024-1176
(678) 429-0313
Mailing address
1015 PEBBLE CREEK TRL, SUWANEE, GA 30024-1176
(678) 429-0313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001281
GA
Other
Enumeration date
04/24/2016
Last updated
04/24/2016
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