Individual
LAUREN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4981 ILCHESTER RD, ELLICOTT CITY, MD 21043-6837
(410) 313-2524
Mailing address
4981 ILCHESTER RD, ELLICOTT CITY, MD 21043-6837
(410) 313-2524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10001
MD
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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