Individual
MRS. MARY JANE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8700 SOUTH KYRENE ROAD, MAIL STOP #9, TEMPE, ARIZONA, AZ 85284
(480) 783-4024
Mailing address
5722 E. CALLE CAMELIA, PHOENIX, AZ 85018
(480) 947-1260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0053
AZ
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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