Individual
CHANNAH KATHLEEN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
138 W 25TH ST, SUITE 614, NEW YORK, NY 10001-7405
(646) 234-9101
Mailing address
440 E 23RD ST, #9G, NEW YORK, NY 10010-5002
(212) 334-4886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069407
NY
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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