Individual
KENYAHTTA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
353 TYLER ST, GARY, IN 46402-1149
(219) 886-7070
Mailing address
1800 W 84TH DR APT D84, MERRILLVILLE, IN 46410-5393
(708) 970-6319
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/27/2018
Last updated
10/27/2018
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