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Individual
MATTHEW GRAY
Active
Individual
MATTHEW GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
259375
KY
104100000X
Social Worker
Primary
I.2304550
OH
Other
Enumeration date
07/09/2019
Last updated
08/02/2024
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