Individual
SHANNON GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
3400 SPRUCE ST STE 5100, PHILADELPHIA, PA 19104-4238
(000) 000-0000
Mailing address
3400 SPRUCE ST STE 5100, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001051
PA
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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