Individual
BOBBI SUE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW-C, CPHT
Contact information
Practice address
857 E MAIN ST STE 4, WILLOW SPRINGS, MO 65793-1512
(417) 855-1085
Mailing address
857 E MAIN ST STE 4, WILLOW SPRINGS, MO 65793-1512
(417) 855-1085
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
17745
MO
183700000X
Pharmacy Technician
2009023719
MO
183700000X
Pharmacy Technician
520107010094402
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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