Individual
MR. GREGORY T. SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10 WILSON RD, STOCKBRIDGE, GA 30281-4433
(770) 506-9575
(770) 506-9369
Mailing address
10 WILSON RD, STOCKBRIDGE, GA 30281-4433
(770) 506-9575
(770) 506-9369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000389
GA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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