Individual
STANLEY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
10411 NARROWS DR, ANDERSON ISLAND, WA 98303-8664
(253) 223-9759
Mailing address
10411 NARROWS DR, ANDERSON ISLAND, WA 98303-8664
(253) 223-9759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60398665
WA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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