Individual
JOAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
884 WALKER RD STE B, DOVER, DE 19904-2758
(302) 678-4911
(302) 678-4948
Mailing address
17100 JAYS WAY, MILTON, DE 19968-3412
(302) 678-4911
(302) 678-4948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
766
DE
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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