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Individual

BERNARD PAUL GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICDC, LSW

Contact information

Practice address
311 MARTIN LUTHER KING DR E, CINCINNATI, OH 45219-2581
(513) 475-5331
(513) 332-0367
Mailing address
311 MARTIN LUTHER KING DR E, CINCINNATI, OH 45219-2581
(513) 475-5331
(513) 332-0367

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.872388
1041C0700X
Clinical Social Worker
S-0018686
OH

Other

Enumeration date
04/05/2016
Last updated
05/06/2024
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