Individual
SAMANTHA R GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
15 KIDS COR, MACHIAS, ME 04654-3399
(207) 255-6786
Mailing address
15 KIDS COR, MACHIAS, ME 04654-3399
(207) 598-8265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC24106
ME
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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