Individual
EBONY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
885 GOLD HILL RD # 3119, FORT MILL, SC 29708-7946
(803) 280-3646
Mailing address
885 GOLD HILL RD # 3119, FORT MILL, SC 29708-7946
(803) 493-9389
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
03/17/2026
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