MS. Keedra Alesia Green, MS, CCC-SLP
NPI #1205440872 in Natchez, Mississippi
Provider Information
- NPI Number
- 1205440872
- Entity Type
- Individual
- Name
- MS. Keedra Alesia Green, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Sep 1, 2020
- Last Updated
- Sep 1, 2020
Practice Location
- Address
- 23 BEVERLY DR
- City
- Natchez
- State
- Mississippi
- ZIP Code
- 39120-4401
- Phone
- (601) 443-8169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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