Individual
CASSIDY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 LONG GROVE DR, AURORA, IL 60504-8990
(630) 375-3100
Mailing address
1 PAXSON CT, BOLINGBROOK, IL 60440-9006
(630) 618-8235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242005789
IL
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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