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Individual

MR. GREGORY LEE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
498 INDUSTRIAL DRIVE, BRISTOL, TN 37620
(423) 878-1600
(423) 878-1606
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5576
TN
247200000X
Other Technician

Other

Enumeration date
03/19/2007
Last updated
11/02/2011
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