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1093087710
MIA GREEN
BETHESDA, MD
NPI
1093087710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 06343)
Enumeration Date
2012-01-27
Last Update Date
2012-01-27
Business Address
Ms. MIA GREEN C.C.C.
5606 SHIELDS DR
BETHESDA, MD 20817-3571
Phone number: 301-493-0023
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Mailing Address
Ms. MIA GREEN C.C.C.
4301 VERPLANCK PL NW
WASHINGTON, DC 20016-2427
Phone number: 202-246-2467
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