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Individual

JESSICA LYNN GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1827 E DIVISION ST # 7-208, MOUNT VERNON, WA 98274-6729
(315) 286-6616
Mailing address
1827 E DIVISION ST # 7-208, MOUNT VERNON, WA 98274-6729
(315) 286-6616

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
106S00000X
Behavior Technician

Other

Enumeration date
12/06/2024
Last updated
04/22/2025
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