Mary Ellen Gray

NPI #1578006250 in Clovis, New Mexico

Provider Information

NPI Number: 1578006250
Entity Type: Individual
Name: Mary Ellen Gray
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Nov 29, 2016
Last Updated: Sep 11, 2017

Practice Location

Address: 9408 B VERMONT COURT
City: Clovis
State: New Mexico
ZIP Code: 88101
Phone: (850) 543-9607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Technician, Other	247200000X	Primary

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