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Individual

MR. GREGORY JOHN PURCHASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2221 PENINSULA DR STE 105, ERIE, PA 16506-2954
(814) 969-3031
Mailing address
614 LINCOLN AVE, ERIE, PA 16505-5014
(814) 969-3031

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SW133012
PA
1041C0700X
Clinical Social Worker
Primary
CW019898
PA

Other

Enumeration date
11/22/2017
Last updated
06/11/2019
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