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Individual

ELLEN T MCGREGOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
710 TYRONE RD, TYRONE, GA 30290-2134
(814) 431-2267
Mailing address
710 TYRONE RD, TYRONE, GA 30290-2134
(814) 431-2267

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008474
GA
1041C0700X
Clinical Social Worker
035155
NY
1041C0700X
Clinical Social Worker
CW016585
PA

Other

Enumeration date
05/10/2013
Last updated
06/09/2023
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