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Individual

STEPHANIE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6801 W 20TH ST UNIT 212, GREELEY, CO 80634-9640
(970) 301-4206
(970) 330-3954
Mailing address
4900 BROOK CREEK AVE, FIRESTONE, CO 80504-5327
(303) 263-7905

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0001836
CO

Other

Enumeration date
10/17/2014
Last updated
04/24/2023
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