Theresa Gray, LMSW

NPI #1619462132 in Woodstock, Georgia

Provider Information

NPI Number: 1619462132
Entity Type: Individual
Name: Theresa Gray, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jun 27, 2018
Last Updated: Jan 20, 2020

Practice Location

Address: 4595 TOWNE LAKE PARKWAY
Address 2: BUILDING 300, SUITE 250
City: Woodstock
State: Georgia
ZIP Code: 30189
Phone: (678) 592-5779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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