Individual
GARY MICHAEL GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0002
(202) 745-8591
Mailing address
1505 LAWRENCE ST NE, WASHINGTON, DC 20017-2914
(202) 635-3814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC302598
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10
SOCIAL WORKER
DC
Enumeration date
08/30/2006
Last updated
07/08/2007
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