Stephanie Rae Green
NPI #1447766290 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1447766290
- Entity Type
- Individual
- Name
- Stephanie Rae Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Dec 15, 2017
- Last Updated
- Dec 15, 2017
Practice Location
- Address
- 401 N 30TH ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2355
- Phone
- (618) 244-8068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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