Individual
ALICE J GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA, LSW
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 204-4115
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1700657
OH
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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