Individual
BRANDAN DEAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
940 E WILLIAMS ST STE 102, BANNING, CA 92220-5848
(951) 588-2553
Mailing address
321 W 9TH PL, BEAUMONT, CA 92223-1653
(909) 800-5198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119838
CA
Other
Enumeration date
01/30/2023
Last updated
11/01/2024
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