MRS. Laura Green

NPI #1114156973 in Chesterton, Indiana

Provider Information

NPI Number: 1114156973
Entity Type: Individual
Name: MRS. Laura Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jul 14, 2009
Last Updated: Jul 8, 2019

Practice Location

Address: 1120 S CALUMET RD STE 3
City: Chesterton
State: Indiana
ZIP Code: 46304
Phone: (219) 983-9675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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