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Individual

JAMES WALTER GREENSLADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., CCC-SLP

Contact information

Practice address
15301 W 87TH ST, SUITE 200, LENEXA, KS 66219-1401
(913) 492-4888
(913) 492-4741
Mailing address
909 WALNUT ST APT 1902, KANSAS CITY, MO 64106-2027

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2015038134
MO
235Z00000X
Speech-Language Pathologist
Primary
3876
KS
235Z00000X
Speech-Language Pathologist
SP#2911
AR

Other

Enumeration date
01/27/2016
Last updated
01/27/2016
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