MRS. Renae Dina Green, CCC-SLP
NPI #1114261864 in Puyallup, Washington
Provider Information
- NPI Number
- 1114261864
- Entity Type
- Individual
- Name
- MRS. Renae Dina Green, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Nov 19, 2012
- Last Updated
- Nov 19, 2012
Practice Location
- Address
- 8722 119TH STREET CT E
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98373-7974
- Phone
- (253) 445-2513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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