Individual
GREGORY STEPHEN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 707-4899
Mailing address
5955 ZEAMER A V, JBER, AK 99505
(907) 707-4899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011300A
IN
1041C0700X
Clinical Social Worker
6851109402
IN
Other
Enumeration date
03/01/2023
Last updated
12/19/2024
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