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Individual

MS. GINA MARIE GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2240 VENICE BLVD # 15A, LOS ANGELES, CA 90006-5108
(310) 220-0350
Mailing address
6221 GEARY BLVD, SAN FRANCISCO, CA 94121-1887
(415) 474-7310
(415) 751-3226

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
020630
PA
1041C0700X
Clinical Social Worker
0904011119
VA
1041C0700X
Clinical Social Worker
09926035
CO
1041C0700X
Clinical Social Worker
68047
TX
1041C0700X
Clinical Social Worker
73689
CA

Other

Enumeration date
10/04/2011
Last updated
08/20/2019
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