Individual
MACKENZIE LADANE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 WALNUT RIDGE RD, BRANSON, MO 65616-8878
(417) 294-4781
Mailing address
140 WALNUT RIDGE RD, BRANSON, MO 65616-8878
(417) 294-4781
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2023038243
MO
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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