Individual
JENNIFER GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 KANAWHA TER, SAINT ALBANS, WV 25177-2750
(304) 201-1130
(304) 201-1100
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 201-5019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00941171
WV
Other
Enumeration date
05/31/2018
Last updated
03/01/2024
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