Individual
BRANDON G GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW, CSW
Contact information
Practice address
503 WATSON RD, ERLANGER, KY 41018-1556
(859) 835-2573
Mailing address
503 WATSON RD, ERLANGER, KY 41018-1556
(859) 835-2573
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
06/23/2006
Last updated
04/14/2014
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