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Individual

MS. GRAY SAPPENFIELD MOULTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
3007 BARDWELL RD, GREENSBORO, NC 27410
(336) 287-7353
Mailing address
3007 BARDWELL RD, GREENSBORO, NC 27410-9429
(336) 287-7353

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
869
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135E4
BCBS
NC
05
6105068
NC
Enumeration date
10/31/2006
Last updated
04/25/2019
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