Individual
JILL A GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2403 MARYLANE DR, ROGERS, AR 72756-6702
(479) 790-7979
Mailing address
657 CLINTON CIR, SPRINGDALE, AR 72762-6280
(615) 300-7524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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