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Individual

SHALAINE GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17515 ROCKAWAY BLVD, JAMAICA, NY 11434-5503
(718) 632-3275
Mailing address
17515 ROCKAWAY BLVD, JAMAICA, NY 11434-5503
(718) 632-3275

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/06/2024
Last updated
11/06/2024
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