Individual
RODERIC M GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
124 OAKWOOD PLANTATION DR, FLEMING ISLAND, FL 32003-4572
(904) 505-3318
Mailing address
124 OAKWOOD PLANTATION DR, FLEMING ISLAND, FL 32003-4572
(904) 505-3318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH1859
FL
103TS0200X
School Psychologist
Primary
SS598
FL
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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