Individual
SUSAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8144 LONGMEADOW LN, YPSILANTI, MI 48197-9346
(734) 395-8523
Mailing address
PO BOX 970292, YPSILANTI, MI 48197-0037
(734) 395-8523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/27/2014
Last updated
08/19/2024
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