Individual
DE'ANGELO GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11111 N HARRELLS FERRY RD, APT 177, BATON ROUGE, LA 70816-8389
(318) 334-9176
Mailing address
11111 N HARRELLS FERRY RD, APT 177, BATON ROUGE, LA 70816-8389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008849940
LA
Other
Enumeration date
01/28/2016
Last updated
01/29/2016
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