TIMOTHY RICHARD GREGORY

PORT JERVIS, NY
NPI1083623177
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R043053)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
-- TIMOTHY RICHARD GREGORY LCSW
56 FRONT ST
PORT JERVIS, NY 12771-2415
Phone number: 845-858-3253
Mailing Address
-- TIMOTHY RICHARD GREGORY LCSW
PO BOX 3159
PORT JERVIS, NY 12771-0257
Phone number:
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