Organization
SAMANTHA GRAY THERAPY & PROFESSIONAL CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA GRAY (OWNER)
(716) 418-4229
Entity
Organization
Contact information
Practice address
4511 HARLEM RD, SNYDER, NY 14226-3803
(716) 229-5766
Mailing address
4511 HARLEM RD, SNYDER, NY 14226-3803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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