Stacie Diane Green is a mental health counselor in Philadelphia, PA. Stacie Diane Green NPI is 1386972628. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1315 WINDRIM AVE
PHILADELPHIA, PA
ZIP 19141-710
Phone: (609) 502-8609
The enumeration date for this NPI number is 11/25/2009 and was last updated on 11/25/2009.