Individual
DR. GREGORY WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
4055 N PARK LOOP, MEMPHIS, TN 38152-9675
(901) 830-5180
Mailing address
3069 BRAMBLEBERRY CV, SOUTHAVEN, MS 38672-6091
(901) 830-5180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C10431
MS
1041C0700X
Clinical Social Worker
Primary
LSW0000004802
TN
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/18/2007
Last updated
12/05/2023
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