GREGORY LANDELLS DOUGLAS

BRONX, NY
NPI1568600625
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  73 047347)
Enumeration Date2009-01-28
Last Update Date2009-01-28
Business Address
Mr. GREGORY LANDELLS DOUGLAS LCSW
1276 FULTON AVE
BRONX, NY 10456-3402
Phone number: 718-901-8222
Mailing Address
Mr. GREGORY LANDELLS DOUGLAS LCSW
1276 FULTON AVE
BRONX, NY 10456-3402
Phone number: 718-901-8222
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