Individual
JACKIE GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N LA CIENEGA BLVD STE 300, BEVERLY HILLS, CA 90211-2284
(310) 289-1612
Mailing address
4417 GLORIA AVE, ENCINO, CA 91436-3450
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
86402
CA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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