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1225540750
ELAINA GRAY
LONGWOOD, FL
NPI
1225540750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: FL IMH15718)
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
ELAINA GRAY MS
111 W MAGNOLIA AVE
LONGWOOD, FL 32750-4130
Phone number: 407-327-1765
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Mailing Address
ELAINA GRAY MS
111 W MAGNOLIA AVE
LONGWOOD, FL 32750-4130
Phone number: 407-327-1765
Copy
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