Individual
KANDICE GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
19545 BROADHURST RD, COTTONWOOD, CA 96022-8567
(530) 354-3223
Mailing address
19545 BROADHURST RD, COTTONWOOD, CA 96022-8567
(530) 354-3223
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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