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Individual
JULIE KAREN GRAY
Active
Individual
JULIE KAREN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30408
NY
1041C0700X
Clinical Social Worker
Primary
086183
NY
Other
Enumeration date
02/18/2019
Last updated
10/01/2021
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