Individual
MRS. CARRIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8502 EDGEMERE RD, DALLAS, TX 75225-3523
(214) 369-7995
Mailing address
9228 SHOREVIEW RD, DALLAS, TX 75238-3366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19696
TX
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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