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Individual
SHANNON GRAY
Active
Individual
SHANNON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2309094
OH
1041C0700X
Clinical Social Worker
Primary
I.2507031
OH
Other
Enumeration date
06/05/2023
Last updated
08/31/2026
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