Individual
MR. ADAM BARRETT GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
4003 N BROADWAY ST, 2ND FLOOR, CHICAGO, IL 60613
(773) 828-9449
(773) 834-8088
Mailing address
625 W PATTERSON AVE, APT 1E, CHICAGO, IL 60613-4471
(734) 834-0627
(773) 834-8088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
076536-1
NY
1041C0700X
Clinical Social Worker
Primary
149012560
IL
1041C0700X
Clinical Social Worker
65721
CA
Other
Enumeration date
04/20/2012
Last updated
07/24/2018
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