Individual
MRS. DELISA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5029 37TH AVE, HYATTSVILLE, MD 20782-3911
(301) 927-0859
Mailing address
5029 37TH AVE, HYATTSVILLE, MD 20782-3911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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