Codie Jaclyn Green
NPI #1225769482 in Sumrall, Mississippi
Provider Information
- NPI Number
- 1225769482
- Entity Type
- Individual
- Name
- Codie Jaclyn Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 20, 2022
- Last Updated
- Jun 20, 2022
Practice Location
- Address
- 668 OLD SALT RD
- City
- Sumrall
- State
- Mississippi
- ZIP Code
- 39482-4232
- Phone
- (601) 270-6968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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