Individual
STEPHANIE ANN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 660-6690
Mailing address
PO BOX 173, 210 W BRANSON STREET, LA FONTAINE, IN 46940-0173
(260) 571-5221
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
10/05/2021
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