Individual
GEORGIANA W. GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.S.A., L.I.S.W.
Contact information
Practice address
15200 MADISON AVE, LAKEWOOD, OH 44107-4019
(216) 402-9188
Mailing address
2308 GRANDVIEW AVE, CLEVELAND HEIGHTS, OH 44106-3120
(216) 421-2337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0008028
OH
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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