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Individual

MRS. GWENDOLYN GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 339-2395
(678) 990-3997
Mailing address
85 S GREENFIELD CIR, COVINGTON, GA 30016-3378
(678) 625-9099

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
12/28/2012
Last updated
12/28/2012
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