Individual
BRYISHA K GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 S 5TH AVE # 122, HINES, IL 60141-3030
(708) 202-8387
(708) 202-7040
Mailing address
5000 S 5TH AVE # 122, HINES, IL 60141-3030
(708) 202-8387
(708) 202-7040
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.111666
IL
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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