Individual
KIMBERLY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, MSS, MLSP, LCSW
Contact information
Practice address
6331 GERMANTOWN AVE # 2, PHILADELPHIA, PA 19144-1907
(215) 450-1869
Mailing address
6331 GERMANTOWN AVE # 2, PHILADELPHIA, PA 19144-1907
(215) 450-1869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020332
PA
Other
Enumeration date
01/23/2019
Last updated
09/30/2021
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