Individual
LILLIAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 CATAWBA RD STE 103, DALEVILLE, VA 24083-2694
(540) 772-8043
Mailing address
4346 STARKEY RD STE 1, ROANOKE, VA 24018-0605
(540) 772-8043
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704015708
VA
225A00000X
Music Therapist
16945
—
Other
Enumeration date
10/18/2021
Last updated
10/06/2023
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