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Individual

MR. GREGORY J PRYOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, LCADC

Contact information

Practice address
401 NORTH ROUTE 73, BUILDING 10, SUITE 110, MARLTON, NJ 08053
(609) 280-6998
(856) 983-1511
Mailing address
302A BARTON RUN BLVD, MARLTON, NJ 08053
(609) 280-6998
(856) 983-1511

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00025400
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05265600
NJ

Other

Enumeration date
04/28/2008
Last updated
04/28/2008
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