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Eliza Lidie Green
Mental Health Counselor in Philadelphia, Pennsylvania
NPI 1740059138

Eliza Lidie Green is a Mental Health Counselor based in Philadelphia, PA and is specialized in Mental Health. Eliza Lidie Green practices in Philadelphia, PA. The NPI Number for Eliza Lidie Green is 1740059138 and holds a License No. PC016375 (Pennsylvania).

The current practice location address for Eliza Lidie Green is 1080 N Delaware Ave, Philadelphia, PA and can be reached out via phone at 804-887-0643.

Location: 1080 N Delaware Ave, Philadelphia, PA, 19125-4330
person
Provider Profile Details
NPI Number
1740059138
Provider Name
Eliza Lidie Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
1080 N Delaware Ave, Philadelphia, PA, 19125-4330
Phone Number
804-887-0643
Fax Number
Provider Enumeration Date
12/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1080 N Delaware Ave
City
State
Zip
19125-4330
Phone Number
804-887-0643
Fax Number
person
Provider Business Mailing Address Details
Address
1080 N Delaware Ave
City
State
Zip
19125-4330
Phone Number
804-887-0643
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PC016375 (Pennsylvania)
Definition
Definition to come...
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