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1194061754
GWENDOLYN GRAY
LAWRENCEVILLE, GA
NPI
1194061754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-12-28
Last Update Date
2012-12-28
Business Address
Mrs. GWENDOLYN GRAY CADC
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 770-339-2395
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Mailing Address
Mrs. GWENDOLYN GRAY CADC
85 S GREENFIELD CIR
COVINGTON, GA 30016-3378
Phone number: 678-625-9099
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