Individual
JESSICA DANIELLE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
321 POPLAR DR STE C, PETERSBURG, VA 23805-9391
(804) 733-5591
(804) 733-3506
Mailing address
800 HEADWATER DR, ARLINGTON, TX 76015-3665
(804) 239-0836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013649
VA
1041C0700X
Clinical Social Worker
67327
TX
Other
Enumeration date
07/14/2022
Last updated
03/14/2025
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