Individual
KIMBERLY GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3524 BRAMBLETON AVE, SUITE 3, ROANOKE, VA 24018-6528
(540) 400-0256
(540) 400-6557
Mailing address
3524 BRAMBLETON AVE, SUITE 3, ROANOKE, VA 24018-6528
(540) 400-0256
(540) 400-6557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009226
VA
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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