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Individual
KATRINA MICHELLE GRAY
Active
Individual
KATRINA MICHELLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-21371
NC
1041C0700X
Clinical Social Worker
Primary
C011475
NC
Other
Enumeration date
01/11/2012
Last updated
06/26/2019
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