Individual
MRS. DEMECHIONA NICOLE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 N GILA SPRINGS BLVD UNIT 169, CHANDLER, AZ 85226-2793
(602) 318-7331
Mailing address
300 N GILA SPRINGS BLVD UNIT 169, CHANDLER, AZ 85226-2793
(602) 318-7331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-16724
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-22728
AZ
Other
Enumeration date
08/17/2020
Last updated
01/13/2025
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