Individual
LAURYN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 ARCH ST, 6TH FLOOR, PHILADELPHIA, PA 19107-2835
(215) 981-0088
(215) 864-6931
Mailing address
1216 ARCH ST, 6TH FLOOR, PHILADELPHIA, PA 19107-2835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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