Individual
WILLIAM GREEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3457 JOYCE ST, PHILADELPHIA, PA 19134-2621
(215) 828-7140
Mailing address
3457 JOYCE ST, PHILADELPHIA, PA 19134-2621
(215) 828-7140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
PA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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