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Individual

BARRY M. GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED.D., M.ED., LMHC,

Contact information

Practice address
2200 N. FLORIDA MANGO ROAD, WEST PALM BEACH, FL 33409
(561) 296-5288
(561) 297-5287
Mailing address
2200 N. FLORIDA MANGO ROAD, 33409, WEST PALM BEACH, FL 33409
(561) 637-2156
(561) 637-7433

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7413
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MH7413
FLORIDA MEDICAL LICENSE
FL
Enumeration date
05/17/2011
Last updated
12/13/2011
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