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Individual
MRS. KRISTEN SHAE GREGORY
Active
Individual
MRS. KRISTEN SHAE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904020394
VA
101YM0800X
Mental Health Counselor
4589C
AL
101YM0800X
Mental Health Counselor
C11890
MS
104100000X
Social Worker
LSW0000010773
TN
1041C0700X
Clinical Social Worker
4589C
AL
Other
Enumeration date
08/22/2016
Last updated
05/06/2026
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