Individual
MS. MARY LOUISE GREINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4525 LEMMON AVE, STE. 200, DALLAS, TX 75219-2145
(214) 526-4525
(214) 520-6468
Mailing address
4525 LEMMON AVE, STE. 200, DALLAS, TX 75219-2145
(214) 526-4525
(214) 520-6468
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24392
TX
1041C0700X
Clinical Social Worker
24392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110121000
MAGELLAN
TX
01
—
2104531
CIGNA
TX
01
—
222019
VALUE OPTIONS
TX
01
—
81541W
BCBS
TX
Enumeration date
08/29/2006
Last updated
05/12/2009
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