Audrey Susan Green
NPI #1043851256 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1043851256
- Entity Type
- Individual
- Name
- Audrey Susan Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 30, 2019
- Last Updated
- Sep 30, 2019
Practice Location
- Address
- 315 E DUNKLIN ST
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-3128
- Phone
- (573) 659-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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