Individual
KIM ANTOINETTE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
7 ELDERBUSH CT, GREENSBORO, NC 27405-8248
(336) 255-5085
Mailing address
7 ELDERBUSH CT, GREENSBORO, NC 27405-8248
(336) 255-5085
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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