# MS. ANGELA EILEEN GRAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740201367
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 2005013077 | MO | — |
| 1041C0700X | Clinical Social Worker | 63049 | TX | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 06/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3657405 | — | TX |
| 05 | — | 497286902 | — | MO |