Individual
ELLAWYN GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5252
Mailing address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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