Individual
LISA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 E MARKET ST, WEST CHESTER, PA 19382-4806
(610) 290-8566
Mailing address
275 S BRYN MAWR AVE APT D13, BRYN MAWR, PA 19010-4215
(610) 716-8402
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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