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Individual

DEEDEE GREGOIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555
(409) 772-2166
(409) 772-2663
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1385
(409) 772-2166
(409) 772-2663

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19918
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016RK
BLUE CROSS BLUE SHIELD
TX
05
038924902
TX
01
316877
MHN
TX
01
788951000
MAGELLAN
TX
01
GREGO-0003
COMPCARE
TX
Enumeration date
02/23/2006
Last updated
05/23/2018
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