ELIZA LIDIE GREEN

PHILADELPHIA, PA
NPI1740059138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: PA  PC016375)
Enumeration Date2023-12-27
Last Update Date2024-01-11
Business Address
ELIZA LIDIE GREEN
1080 N DELAWARE AVE
PHILADELPHIA, PA 19125-4330
Phone number: 804-887-0643
Mailing Address
ELIZA LIDIE GREEN
1080 N DELAWARE AVE
PHILADELPHIA, PA 19125-4330
Phone number: 215-496-0707
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