Individual
SHELLE GREGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
123 W MAIN ST, SUITE 3, GIRARDVILLE, PA 17935-1718
(570) 875-2271
(570) 276-2098
Mailing address
123 W MAIN ST, SUITE 3, GIRARDVILLE, PA 17935-1718
(570) 875-2271
(570) 276-2098
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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