Channing Gredvig, LCSW

NPI #1003113622 in San Diego, California

Provider Information

NPI Number
1003113622
Entity Type
Individual
Name
Channing Gredvig, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Feb 16, 2011
Last Updated
Nov 29, 2021

Practice Location

Address
3420 KENYON ST
ZIP Code
92110-5001
Phone
(619) 221-6550

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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