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Individual
GREGORY SCOT DEACON
Active
Individual
GREGORY SCOT DEACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6301010405
MI
103TC0700X
Clinical Psychologist
6301010405
MI
103TC1900X
Counseling Psychologist
6301010405
MI
104100000X
Social Worker
6301010405
MI
1041C0700X
Clinical Social Worker
Primary
6301010405
MI
Other
Enumeration date
11/28/2006
Last updated
09/11/2025
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