Individual
MS. KEEDRA ALESIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
23 BEVERLY DR, NATCHEZ, MS 39120-4401
(601) 443-8169
Mailing address
23 BEVERLY DR, NATCHEZ, MS 39120-4401
(601) 443-8169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7195
LA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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