Individual
ELIZABETH GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9420 TOWNE SQUARE AVE STE 23, BLUE ASH, OH 45242-6910
(513) 400-4613
Mailing address
305 STANTON AVE, TERRACE PARK, OH 45174-1241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2003014
OH
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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