Jean Gregg, LICSW

NPI #1073611315 in Roseville, Minnesota

Provider Information

NPI Number: 1073611315
Entity Type: Individual
Name: Jean Gregg, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Sep 20, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 2233 HAMLINE AVE N STE 435
City: Roseville
State: Minnesota
ZIP Code: 55113-5023
Phone: (651) 216-1935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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