Individual
STEPHANIE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 682-2371
Mailing address
1212 CHARLES CT, BORDENTOWN, NJ 08505-3502
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
WA
102L00000X
Psychoanalyst
—
—
Other
Enumeration date
10/09/2019
Last updated
11/27/2023
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