Individual
IVY LAPARISH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10348 PARK RD, CHARLOTTE, NC 28210-8507
(704) 288-1097
Mailing address
10348 PARK RD, CHARLOTTE, NC 28210-8507
(704) 288-1097
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P019256
NC
Other
Enumeration date
11/22/2023
Last updated
12/05/2023
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