Individual
ELIZABETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
902 TREE ST, PHILADELPHIA, PA 19148-3122
(570) 490-0744
Mailing address
902 TREE ST, PHILADELPHIA, PA 19148-3122
(570) 490-0744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021309
PA
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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