Individual
GREGORY WAYNE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
1251 NILLES RD, SUITE 5,, FAIRFIELD, OH 45014-7206
(513) 939-0300
(513) 939-0310
Mailing address
1251 NILLES RD, SUITE 5,, FAIRFIELD, OH 45014-7206
(513) 939-0300
(513) 939-0310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0800207
OH
Other
Enumeration date
11/29/2015
Last updated
12/04/2017
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