Individual
CIERRA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 NORTH ROAD, POUGHKEEPSIE, NY 12601
(845) 483-2703
Mailing address
230 NORTH ROAD, POUGHKEEPSIE, NY 12601
(845) 483-2703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
099315
NY
Other
Enumeration date
12/16/2016
Last updated
12/19/2016
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