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MRS. MARY JANE GREEN SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1932394327

Individual Registrant:
MRS. MARY JANE GREEN SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8700 SOUTH KYRENE ROAD MAIL STOP #9 TEMPE, ARIZONA, AZ 85284 US
Tel: 480-783-4024  Fax: --

Contact information for business:
5722 E. CALLE CAMELIA  PHOENIX, AZ 85018 US
Tel: 480-947-1260  Fax: --

Registration Information:
NPI: 1932394327
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AZ0053

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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