Individual
ILENE J GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
50 IRVING ST NW, DEPT OF AUDIOLOGY AND SPEECH PATHOLOGY (126), WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
631 D ST NW, UNIT 844, WASHINGTON, DC 20004-2956
(202) 745-8000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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