Individual
MRS. CATHLEEN MARIE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
15945 CANAL RD, CLINTON TOWNSHIP, MI 48038-1610
(586) 416-2311
Mailing address
10120 HEARTWOOD RD, CLARKSTON, MI 48348-1926
(248) 420-1083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012322
MI
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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