Individual
COURTNEY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
363 MCKNIGHT AVE, WEST FORK, AR 72774
(479) 839-3035
Mailing address
PO BOX 419, WEST FORK, AR 72774-0419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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