Individual
MS. CAROLYN D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18531 FM 3341, TROUP, TX 75789-3609
(903) 330-2342
Mailing address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12445
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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