Individual
KATHY ROSE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2759 MOUNTBERY DR, SNELLVILLE, GA 30039-8028
(310) 508-1178
Mailing address
PO BOX 390753, SNELLVILLE, GA 30039-0013
(310) 508-1178
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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