Individual
MS. TEZ-MIA KIMBERLY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 LIME ST APT 28, FERNANDINA BEACH, FL 32034-4417
(904) 624-5231
Mailing address
1100 LIME ST APT 28, FERNANDINA BEACH, FL 32034-4417
(904) 624-5231
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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