Individual
JENNIFER GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 GENESEE AVE NE, WARREN, OH 44483-5504
(330) 809-3085
Mailing address
604 GENESEE AVE NE, WARREN, OH 44483-5504
(330) 809-3085
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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