Individual
KIMBERLY GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1012 SOUTH THIRD STREET, DAYTON, WA 99328
(509) 382-2531
(509) 382-9359
Mailing address
1012 SOUTH THIRD STREET, DAYTON, WA 99328
(509) 382-2531
(509) 382-9359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
LL 00003864
WA
235Z00000X
Speech-Language Pathologist
Primary
LL00003864
WA
Other
Enumeration date
05/05/2014
Last updated
01/14/2016
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