Individual
EDGAR GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14853 BROOKVIEW DR APT 202, RIVERVIEW, MI 48193-2003
(517) 918-7175
Mailing address
14853 BROOKVIEW DR APT 202, RIVERVIEW, MI 48193-2003
(517) 918-7175
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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