Individual
CASSONDRA ELAINE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
477 PROMINENCE CT STE 100, DAWSONVILLE, GA 30534-6377
(401) 216-9564
Mailing address
273 QUILLIAN ST, CLEVELAND, GA 30528-1464
(706) 242-8247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003758
GA
Other
Enumeration date
11/09/2017
Last updated
11/10/2024
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