Individual
MRS. GINA BROWN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
46 LAMPTON RD, CHARLESTON, SC 29407-6962
(843) 343-6712
Mailing address
46 LAMPTON RD, CHARLESTON, SC 29407-6962
(843) 343-6712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2753
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0234
—
SC
Enumeration date
07/24/2007
Last updated
07/24/2007
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