Individual
DANA LEANN GREEN-REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
119 SERVICE ROAD, CAMDENTON, MO 65020
(573) 346-9242
Mailing address
P.O. BOX 1409, CAMDENTON, MO 65020
(573) 346-9242
(573) 346-9290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2009023788
MO
235Z00000X
Speech-Language Pathologist
Primary
2010025335
MO
235Z00000X
Speech-Language Pathologist
—
MO
Other
Enumeration date
08/13/2009
Last updated
03/16/2022
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