Individual
AMELIA ELLEN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
201 GREY FLATS RD, BECKLEY, WV 25801-5874
(304) 255-7676
Mailing address
201 GREY FLATS RD, BECKLEY, WV 25801-5874
(304) 255-7676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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