Individual
KILA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7600 AUTUMN PARK WAY, MECHANICSVILLE, VA 23116-3868
(804) 730-0009
Mailing address
17187 EL CAPONE WAY, BEAVERDAM, VA 23015-1780
(804) 994-1294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14444570
VA
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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