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1467004697
MAKENNA GREEN
ST CHARLES, IL
NPI
1467004697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242.005419)
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
Mrs. MAKENNA GREEN MA, SLP
4058 E MAIN ST
ST CHARLES, IL 60174-5202
Phone number: 630-793-4464
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Mailing Address
Mrs. MAKENNA GREEN MA, SLP
420 HAMILTON RD
ST CHARLES, IL 60175-8009
Phone number: 630-677-4409
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