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Individual
NANCY GRAY-TERRY
Active
Individual
NANCY GRAY-TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002534
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36593
BC/BS PROVIDER #
NC
01
—
56-2128417
FED. TID: CRESCENT MOON
NC
05
—
6002025
—
NC
05
—
6003804
—
NC
Enumeration date
07/10/2006
Last updated
07/09/2007
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