Individual
MICHELLE L GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 283-1107
(574) 283-1131
Mailing address
51924 LAKE KNOLL CT, GRANGER, IN 46530-8878
(574) 271-4010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005355A
IN
Other
Enumeration date
03/05/2007
Last updated
04/12/2018
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