Individual
BATHSHEBA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8967 YELLOW BRICK RD, ROSEDALE, MD 21237-2303
(410) 780-5203
Mailing address
33 VALLEY BOTTOM RD, ABERDEEN, MD 21001-4413
(443) 466-1484
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5973
MD
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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