Individual
CHRISTINE KETTERER GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2305 N PARHAM RD STE 3, RICHMOND, VA 23229-3156
(804) 270-1124
(804) 270-2090
Mailing address
4204 LEDGE CIR, GLEN ALLEN, VA 23059-5398
(804) 727-9716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007408
VA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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