Individual
THERESA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4595 TOWNE LAKE PARKWAY, BUILDING 300, SUITE 250, WOODSTOCK, GA 30189
(678) 592-5779
Mailing address
2550 AKERS MILL RD SE APT E5, ATLANTA, GA 30339-3226
(770) 296-2929
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
GA
Other
Enumeration date
06/27/2018
Last updated
01/20/2020
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