Individual
AILEEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1500 S MONTE TESORO DR, COTTONWOOD, AZ 86326-6232
(928) 634-7039
Mailing address
1031 S 12TH ST, COTTONWOOD, AZ 86326-4520
(928) 300-9354
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
AZ
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
07/24/2023
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