Individual
JUDITH ANNE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
25485 HARCUM WHARF RD, EDEN, MD 21822-2167
(443) 880-2995
(877) 817-7197
Mailing address
25485 HARCUM WHARF RD, EDEN, MD 21822-2167
(443) 880-2995
(817) 877-7197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R039465
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136851000
MAGELLAN
MD
01
—
425142
MAMSI
MD
01
—
563BJA
CAREFIRST BCBS
MD
01
—
K2890001
CAREFIRST BLUE CROSS BLUE
DC
01
—
PB64960
APS
MD
Enumeration date
11/22/2005
Last updated
08/13/2012
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