Individual
LUCIANE L GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
555 WILLARD AVE, 2C-1145, NEWINGTON, CT 06111-2631
(860) 212-0010
Mailing address
69 PARTRIDGE LN, TOLLAND, CT 06084-3807
(860) 841-1987
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
002858
CT
Other
Enumeration date
12/03/2015
Last updated
10/07/2016
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