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Individual

CARRIE AHLQUIST GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969
Mailing address
446 26TH ST FL 6, SAN DIEGO, CA 92102-3026
(619) 398-2181

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
10/18/2006
Last updated
09/11/2025
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