Becquelyn Green
NPI #1093111775 in Clinton, Mississippi
Provider Information
- NPI Number
- 1093111775
- Entity Type
- Individual
- Name
- Becquelyn Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- Nov 7, 2014
- Last Updated
- Nov 7, 2014
Practice Location
- Address
- 104 ELGIN PL
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-3946
- Phone
- (601) 966-3238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Local Education Agency (LEA) |
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