Individual
MRS. STACEY ELLEN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, RCSW
Contact information
Practice address
718 GARDEN PLZ, ORLANDO, FL 32803-4212
(407) 894-8894
Mailing address
718 GARDEN PLZ, ORLANDO, FL 32803-4212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
07/24/2013
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