Individual
MS. SUZANNE S GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM,MED
Contact information
Practice address
149 SYLVAN ST, DANVERS, MA 01923-3564
(978) 774-7570
Mailing address
13 MICHAEL RD, BEVERLY, MA 01915-1218
(978) 922-8464
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
341252
MA
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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