Organization
AMY GRAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GRAY LISW-S, LICDC-CS (OWNER/OPERATOR)
(740) 705-1543
Entity
Organization
Contact information
Practice address
1100 FAIRY FALLS DR STE 4, COSHOCTON, OH 43812-2803
(740) 722-9416
(740) 722-9418
Mailing address
1100 FAIRY FALLS DR STE 4, COSHOCTON, OH 43812-2803
(740) 722-9416
(740) 722-9418
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
09/11/2019
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