Individual
AMBER JEAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11174 HIGHLAND ROAD, HARTLAND, MI 48353
(810) 991-1114
Mailing address
11174 HIGHLAND ROAD, HARTLAND, MI 48353
(810) 991-1114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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