MISS Lanetra Green
NPI #1811337462 in Laurens, South Carolina
Provider Information
- NPI Number
- 1811337462
- Entity Type
- Individual
- Name
- MISS Lanetra Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 27, 2013
- Last Updated
- Oct 9, 2013
Practice Location
- Address
- 379 PINEHAVEN STREET EXT
- City
- Laurens
- State
- South Carolina
- ZIP Code
- 29360-2672
- Phone
- (864) 984-6584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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