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Individual

MS. ENOD L GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4200 MONTROSE BLVD, SUITE 540, HOUSTON, TX 77006
(713) 777-7193
(713) 522-1196
Mailing address
4200 MONTROSE BLVD, SUITE 540, HOUSTON, TX 77006
(713) 522-7014
(713) 522-1196

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S25169
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005952
BCBS
TX
01
0007976402
MAGELLAN
Enumeration date
12/04/2006
Last updated
07/08/2007
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