Individual
CANDACE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
309 W 86TH ST, SUITE 2B, NEW YORK, NY 10024-3160
(212) 501-0151
(212) 684-3507
Mailing address
309 W 86TH ST, SUITE 2B, NEW YORK, NY 10024-3160
(212) 501-0151
(212) 684-3507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
043639R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P589443
OXFORD HEALTH PLAN
NY
Enumeration date
12/18/2006
Last updated
07/28/2009
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