Individual
MRS. ALTHA MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2447 23RD ST, LAKE CHARLES, LA 70601-6969
(337) 377-9993
Mailing address
2447 23RD ST, LAKE CHARLES, LA 70601-6969
(337) 377-9993
(337) 217-4611
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4876
LA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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