Individual
SAMANTHA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 347-8507
Mailing address
1808 CLEVELAND AVE # B, ANCHORAGE, AK 99517-2690
(907) 347-8507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AK
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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