Individual
TIFFANNY OCTAVIA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 6TH AVE, HUNTINGTON, WV 25701-2312
(304) 526-9111
Mailing address
1230 6TH AVE, HUNTINGTON, WV 25701-2312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
04/22/2024
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