Individual
IRIS GREENBAUM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
223 N BROAD ST, GRIFFITH, IN 46319-2220
(219) 934-1900
(219) 934-1900
Mailing address
223 N BROAD ST, P.O. BOX 581, GRIFFITH, IN 46319-2220
(219) 934-1900
(219) 934-1900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004787A
IN
Other
Enumeration date
12/28/2005
Last updated
07/08/2007
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