Individual
KURT HOWARD GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.F.T.
Contact information
Practice address
7311B W JEFFERSON BLVD, FORT WAYNE, IN 46804-6237
(260) 432-2311
Mailing address
7311B W JEFFERSON BLVD, FORT WAYNE, IN 46804-6237
(260) 432-2311
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001414A
IN
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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