Individual
MRS. CHRISTINA MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR., FAIRFAX, VA 22031-2244
(703) 317-1400
Mailing address
8270 WILLOW OAKS CORPORATE DRIVE, FAIRFAX, VA 22031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005038
VA
Other
Enumeration date
01/30/2012
Last updated
03/17/2018
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