Provider Information for 1396422374
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CINDY GRAY Lpc
Sex: Female
NPI: 1396422374
Last Updated: 2023-06-30
Certification Date: 2023-06-30
Certification Date: 2023-06-30
Details
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NPI | 1396422374 | ||||||||
Enumeration Date | 2023-06-30 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 815 RANCH FLS SAN ANTONIO, TX 78245-3173 United States Phone: 210-803-2883 | Fax: | ||||||||
Primary Practice Address | 815 RANCH FLS SAN ANTONIO, TX 78245-3173 United States Phone: 210-803-2883 | Fax: | ||||||||
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