Individual
JAMES GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
116 W WASHINGTON ST, SUITE 2C, CHARLES TOWN, WV 25414-1572
(304) 728-8282
(304) 728-8253
Mailing address
PO BOX 602, CHARLES TOWN, WV 25414-0602
(304) 728-2828
(304) 728-8253
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
DP00941268
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140097000
—
WV
Enumeration date
07/15/2005
Last updated
11/05/2007
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