Individual
NIALANI GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2400 47TH AVE S, GRAND FORKS, ND 58201-3405
(701) 746-2200
(701) 772-7739
Mailing address
2400 47TH AVE S, GRAND FORKS, ND 58201-3405
(701) 746-2200
(701) 772-7739
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000418981
ND
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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