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1174730055
JIM GREGORY
BENTON, AR
NPI
1174730055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 942-C)
Enumeration Date
2007-05-17
Last Update Date
2020-06-01
Business Address
Mr. JIM GREGORY LCSW
307 E SEVIER ST
BENTON, AR 72015-3934
Phone number: 501-315-4224
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Mailing Address
Mr. JIM GREGORY LCSW
110 PEARSON
BENTON, AR 72015-4436
Phone number: 501-315-4224
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