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Individual

MS. ANGELA EILEEN GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1415 NORTH LOOP W STE 1060, HOUSTON, TX 77008-1664
(816) 248-3043
(713) 338-2371
Mailing address
1415 NORTH LOOP W STE 1060, HOUSTON, TX 77008-1664
(816) 248-3043
(713) 338-2371

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
2005013077
MO
1041C0700X
Clinical Social Worker
Primary
63049
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3657405
TX
05
497286902
MO
Enumeration date
07/21/2006
Last updated
06/16/2018
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