Individual
KATIE ROSE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 LINEVILLE RD, GREEN BAY, WI 54313-7151
(920) 662-7841
Mailing address
2038 MYSTIC HILLS TER, SUAMICO, WI 54313-7768
(920) 544-6007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14038838
WI
Other
Enumeration date
05/06/2026
Last updated
05/07/2026
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