Individual
ANESHA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 W HEBBLE AVE, FAIRBORN, OH 45324-4960
(720) 270-7890
Mailing address
PO BOX 396, SPRINGBORO, OH 45066-0396
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
07/28/2022
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