Provider Information for 1073935516
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LENORE GRAY LPC
Sex: Female
NPI: 1073935516
Last Updated: 2014-01-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1073935516 | ||||||||
| Enumeration Date | 2014-01-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 155 INVERNESS DR W SUITE 140 ENGLEWOOD, CO 80112-5095 United States Phone: 303-793-9634 | Fax:303-889-0838 | ||||||||
| Primary Practice Address | 155 INVERNESS DR W SUITE 140 ENGLEWOOD, CO 80112-5095 United States Phone: 303-793-9634 | Fax:303-889-0838 | ||||||||
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