Individual
MRS. ANDREA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.S
Contact information
Practice address
2841 THOUSAND ACRES RD, DELANSON, NY 12053-1917
(518) 875-6724
Mailing address
65 BENEDICT ST, CASTLETON, NY 12033-1119
(518) 728-3625
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
353562091
NY
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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