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Individual

ELIZABETH JOETTE GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LADC

Contact information

Practice address
520 OSBORNE RD NE STE 120, FRIDLEY, MN 55432-2718
(763) 236-4300
Mailing address
PO BOX 43, MR 10585, MINNEAPOLIS, MN 55440-0043
(763) 236-4300

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302453
MN

Other

Enumeration date
06/19/2013
Last updated
11/12/2025
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