Individual
MS. JEANNE A. GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1229 MAIN ST., SUITE 105, PHILOMATH, OR 97370-9304
(541) 602-4112
(541) 714-3770
Mailing address
578 N 12TH ST, PHILOMATH, OR 97370-9304
(541) 602-4112
(541) 715-3770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4097
OR
1041C0700X
Clinical Social Worker
Primary
L4097
OR
1041C0700X
Clinical Social Worker
L4097
—
Other
Enumeration date
01/02/2007
Last updated
08/30/2017
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