GREGG R MAYNARD

PATCHOGUE, NY
NPI1669546065
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R029575-1)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
Mr. GREGG R MAYNARD LCSW
212 N PROSPECT AVE
PATCHOGUE, NY 11772-2223
Phone number: 631-475-2008
Mailing Address
Mr. GREGG R MAYNARD LCSW
212 N PROSPECT AVE
PATCHOGUE, NY 11772-2223
Phone number: 631-475-2008
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