IVAN GREEN

DALLAS, TX
NPI1356720353
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2015-05-22
Last Update Date2022-12-02
Business Address
IVAN GREEN
8915 HARRY HINES BLVD
DALLAS, TX 75235-1717
Phone number: 225-200-1704
Mailing Address
IVAN GREEN
8915 HARRY HINES BLVD
DALLAS, TX 75235-1717
Phone number: 225-200-1704
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