Individual
DOUGLAS GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
151 HAZARD AVE, ENFIELD, CT 06082-4584
(860) 763-8044
(860) 272-2990
Mailing address
174 MASKEL RD, SOUTH WINDSOR, CT 06074-1645
(860) 644-6795
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000889
CT
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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