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Individual

AMY MARIE GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5306 OLD ROUTE 77, SPARTANSBURG, PA 16434-5532
(814) 663-1438
Mailing address
5306 OLD ROUTE 77, SPARTANSBURG, PA 16434-5532
(814) 663-1438

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
PC015640
PA

Other

Enumeration date
07/25/2018
Last updated
01/16/2025
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