Individual
MR. GARY RICARDO GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 EUCLID ST W, HARTFORD, CT 06112-1118
(860) 478-6584
Mailing address
14 ELRO ST, MANCHESTER, CT 06040-4228
(860) 478-6584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
11100
CT
Other
Enumeration date
11/27/2023
Last updated
06/02/2025
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