Individual
JOAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
12712 HUNTSMAN WAY, POTOMAC, MD 20854-2307
(301) 602-2899
Mailing address
12712 HUNTSMAN WAY, POTOMAC, MD 20854-2307
(301) 602-2899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2576
MD
Other
Enumeration date
12/27/2014
Last updated
12/27/2014
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