Brandan Dean Gray, STUDENT

NPI #1578279899 in Banning, California

Provider Information

NPI Number: 1578279899
Entity Type: Individual
Name: Brandan Dean Gray, STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: STUDENT
Enumeration Date: Jan 30, 2023
Last Updated: Nov 1, 2024

Practice Location

Address: 940 E WILLIAMS ST STE 102
City: Banning
State: California
ZIP Code: 92220-5848
Phone: (951) 588-2553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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