Organization
GRAY SEA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL FISHER (OWNER)
(410) 417-8427
Entity
Organization
Contact information
Practice address
11K GWYNNS MILL COURT, OWINGS MILLS, MD 21117
(410) 417-8427
Mailing address
3700 SHELLBROOK CT, RANDALLSTOWN, MD 21133
(443) 409-1761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/27/2023
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