Individual
JENNIFER LYNN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
31620 23RD AVENUE SOUTH, SUITE 318, FEDERAL WAY, WA 98003
(253) 653-0168
Mailing address
31620 23RD AVENUE SOUTH, SUITE 318, FEDERAL WAY, WA 98003
(253) 653-0168
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LH00007382
WA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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