Individual
ALLISON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 EL PASO RD, RUIDOSO, NM 88345-6033
(575) 257-2368
Mailing address
143 EL PASO RD, RUIDOSO, NM 88345-6033
(575) 257-2368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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