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Individual

MR. COLBY EARL GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
470 E 3RD ST, SUITE C, LOS ANGELES, CA 90013-1629
(213) 620-5712
Mailing address
470 E 3RD ST, SUITE C, LOS ANGELES, CA 90013-1629
(213) 620-5712

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/06/2010
Last updated
11/30/2015
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