Individual
LINDA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
516 176TH ST E, SPANAWAY, WA 98387-8335
(253) 683-6000
(253) 683-6019
Mailing address
516 176TH ST E, SPANAWAY, WA 98387-8335
(253) 683-6000
(253) 683-6019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00001230
WA
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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