Individual
DARLA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4219 HATHAWAY DR, GRAND PRAIRIE, TX 75052-4217
(501) 256-3222
Mailing address
4219 HATHAWAY DR, GRAND PRAIRIE, TX 75052-4217
(501) 256-3222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102266
TX
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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