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Jennifer Green, SLP

NPI 1023439122 · on the registry since 2013 · sole proprietor

Practice

Address
212 Vale Dr
Fairview Heights, IL 62208
Phone
(314) 240-1553

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
IL, MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois