Individual
MR. ALTON O GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 479-8067
(203) 479-8061
Mailing address
58 LINWOOD DR, BLOOMFIELD, CT 06002-1717
(860) 769-0512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007791
CT
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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