Jalissa Gray

NPI #1427774421 in Berwyn, Illinois

Provider Information

NPI Number: 1427774421
Entity Type: Individual
Name: Jalissa Gray
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Oct 12, 2022
Last Updated: Oct 12, 2022

Practice Location

Address: 6415 STANLEY AVE
City: Berwyn
State: Illinois
ZIP Code: 60402-3130
Phone: (708) 369-6920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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