Individual
MRS. REBEKAH MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 382-0533
Mailing address
5675 VERTA DR NE, BELMONT, MI 49306-9493
(616) 382-0533
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000822
MI
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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