Provider Information for 1235779182
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JAMES JORDAN GREENWALD LPC
Sex: Male
NPI: 1235779182
Last Updated: 2020-01-08
Certification Date: 2020-01-08
Certification Date: 2020-01-08
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1235779182 | ||||||||||||||||||||
| Enumeration Date | 2020-01-08 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 6510 ABRAMS RD STE 413 DALLAS, TX 75231-7217 United States Phone: 972-827-7739 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 6510 ABRAMS RD STE 413 DALLAS, TX 75231-7217 United States Phone: 972-827-7739 | Fax: | ||||||||||||||||||||
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