Lydia Nicole Gray

NPI #1164056297 in Huntington, West Virginia

Provider Information

NPI Number: 1164056297
Entity Type: Individual
Name: Lydia Nicole Gray
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 27, 2020
Last Updated: Feb 27, 2020

Practice Location

Address: 5187 ROUTE 60 EAST
Address 2: SUITE 11
City: Huntington
State: West Virginia
ZIP Code: 25705
Phone: (304) 302-0526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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