Individual
HOLLY NICOHLE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1005 S MERIDIAN ST, LEBANON, IN 46052-2784
(765) 482-7421
Mailing address
1005 S MERIDIAN ST, LEBANON, IN 46052-2784
(765) 482-7421
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
34005897A
IN
Other
Enumeration date
07/10/2006
Last updated
03/03/2010
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