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Individual
MR. SCOTT MICHAEL GRAY
Active
Individual
MR. SCOTT MICHAEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301009281
MI
103K00000X
Behavior Analyst
6301009281
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301009281
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301009281
MI
103TR0400X
Rehabilitation Psychologist
6301009281
MI
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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