Individual
ALIAH T GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
15820 ADDISON ROAD, ADDISON, TX 75001
(866) 919-3240
Mailing address
21 COVENTRY RD, NATCHEZ, MS 39120-2228
(601) 668-2820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
TX
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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