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Individual

PATRICIA GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
203 N THIRD ST, ASHKUM, IL 60911-6040
(815) 698-2212
Mailing address
203 N THIRD ST, ASHKUM, IL 60911-6040
(815) 698-2212

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1636596
IL

Other

Enumeration date
08/25/2017
Last updated
07/21/2022
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