Individual
MRS. WENDY REBECCA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-6571
(203) 679-6142
Mailing address
26 LORI LN, MERIDEN, CT 06450-3573
(203) 238-3830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003105
CT
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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