Individual
JACK GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4419 FALLS RD STE D, BALTIMORE, MD 21211-1296
(831) 750-0057
Mailing address
2802 LAURELWOOD CT, BALTIMORE, MD 21209-1414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33965
MD
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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