MR. Gregg R Maynard, LCSW

NPI #1669546065 in Patchogue, New York

Provider Information

NPI Number
1669546065
Entity Type
Individual
Name
MR. Gregg R Maynard, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Nov 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
212 N PROSPECT AVE
ZIP Code
11772-2223
Phone
(631) 475-2008

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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