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Individual

MS. ANGELA M GRAYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, BC-DMT, NCC

Contact information

Practice address
222 PHILADELPHIA PIKE STE 7, WILMINGTON, DE 19809-3166
(888) 440-2712
(888) 440-2712
Mailing address
7209 LANCASTER PIKE STE 4-1133, HOCKESSIN, DE 19707-9292
(888) 440-2712
(888) 440-2712

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC0000438
DE
101YP2500X
Professional Counselor
PC005056
PA
225600000X
Dance Therapist
BC-DMT 1008
MD

Other

Enumeration date
03/08/2010
Last updated
06/28/2024
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