Organization
HOUSE OF GRAY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALITA MCBRIDE LCSW (SOCIAL WORKER)
(910) 987-8850
Entity
Organization
Contact information
Practice address
7404 CHAPEL HILL RD STE B, RALEIGH, NC 27607-5043
(919) 355-9050
Mailing address
26 WOODS CT, RIDGELAND, SC 29936-5471
(910) 987-8850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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