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Individual

MR. JAMES GERARD GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
100 LAFAYETTE ST, PAWTUCKET, RI 02860-6008
(401) 771-7016
Mailing address
111 STURBRIDGE DR, WARWICK, RI 02886-8624
(401) 771-7016

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ISW00521
RI

Other

Enumeration date
06/28/2017
Last updated
06/28/2017
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