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Organization
LEGION THERAPEUTIC GROUP, LLC
Active
Organization
LEGION THERAPEUTIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL M GREEN LPC (FOUNDER)
(267) 595-0588
Entity
Organization
Contact information
Practice address
14 ELLIOTT AVE, SUITE 9, BRYN MAWR, PA 19010-3412
(844) 534-4661
(888) 226-4103
Mailing address
3553 W CHESTER PIKE UNIT 320, NEWTOWN SQUARE, PA 19073-3701
(844) 534-4661
(888) 226-4103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008692
PA
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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