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1093295263
KELLY GREEN
PHILADELPHIA, PA
NPI
1093295263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
Dr. KELLY GREEN Ph.D.
3535 MARKET ST STE 3037
PHILADELPHIA, PA 19104-3313
Phone number: 215-746-7337
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Mailing Address
Dr. KELLY GREEN Ph.D.
712 S CLIFTON ST
PHILADELPHIA, PA 19147-1978
Phone number: 832-434-1719
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