Individual
MS. STEPHANIE L GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2888 W GRAND BLVD, SUITE 360, DETROIT, MI 48202-2612
(313) 874-8702
Mailing address
1 LAFAYETTE PLAISANCE ST APT 2110, DETROIT, MI 48207-2870
(313) 348-5459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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