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Organization
GREGAM PLLC
Active
Organization
GREGAM PLLC
Active
Other names
Ellie Mental Health-Carrollton
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TEIMOURIAN LCSW (OWNER)
(818) 939-2159
Entity
Organization
Contact information
Practice address
4222 TRINITY MILLS RD STE 250, DALLAS, TX 75287-7655
(818) 939-2159
Mailing address
4222 TRINITY MILLS RD STE 250, DALLAS, TX 75287-7655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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