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Individual

LYDIA GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1102 W TRENTON RD, EDINBURG, TX 78539-9105
(956) 388-6680
Mailing address
2305 N J ST, MCALLEN, TX 78501-5606
(540) 903-9573

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
62514
TX

Other

Enumeration date
04/03/2019
Last updated
04/03/2019
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