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1154445856
GREGORY LEE WHITE
BRISTOL, TN
NPI
1154445856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: TN 5576)
Additional Taxonomies
247200000X Technician, Other
Enumeration Date
2007-03-19
Last Update Date
2011-11-02
Business Address
MR. GREGORY LEE WHITE MSW
498 INDUSTRIAL DRIVE
BRISTOL, TN 37620
Phone number: 423-878-1600
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Mailing Address
MR. GREGORY LEE WHITE MSW
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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