Individual
JACLYN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 COURT ST, BRISTOL, RI 02809-2207
(401) 842-0009
Mailing address
9 COURT ST, BRISTOL, RI 02809-2207
(401) 864-1948
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW04804
RI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
05/13/2026
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