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Individual
TONYA MICHELLE GRAY
Active
Individual
TONYA MICHELLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-A, LCAS-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20375
NC
1041C0700X
Clinical Social Worker
Primary
P008625
NC
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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