Individual
LAKESHIA DELOIS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 S 4TH ST FL 2, READING, PA 19602-2819
(610) 743-5190
Mailing address
4 S 4TH ST, READING, PA 19602-2820
(610) 743-5190
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
PW
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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