JERRY WAYNE GREEN

GRAND PRAIRIE, TX
NPI1992361497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TX  14932)
Enumeration Date2019-05-10
Last Update Date2019-05-10
Business Address
Dr. JERRY WAYNE GREEN LPC
2463 WATERSIDE DR
GRAND PRAIRIE, TX 75054-6806
Phone number: 817-673-2183
Mailing Address
Dr. JERRY WAYNE GREEN LPC
2463 WATERSIDE DR
GRAND PRAIRIE, TX 75054-6806
Phone number: 817-673-2183
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