Provider Information for 1700352606
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GABRIELLE VALENTINA GRAY LCSW
Sex: Female
NPI: 1700352606
Last Updated: 2023-05-04
Certification Date: 2023-05-04
Certification Date: 2023-05-04
Details
Name | Value | ||||||||||||
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NPI | 1700352606 | ||||||||||||
Enumeration Date | 2018-10-17 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 8553 LARCH AVE COTATI, CA 94931-4470 United States Phone: 707-479-1911 | Fax: | ||||||||||||
Primary Practice Address | 1855 2ND ST STE B CONCORD, CA 94519-2623 United States Phone: 855-223-7123 | Fax: | ||||||||||||
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