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1336855535
SHAVONNE GRAY
ALEXANDRIA, VA
NPI
1336855535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701012150)
Enumeration Date
2023-01-30
Last Update Date
2023-01-30
Business Address
SHAVONNE GRAY MS, LPC
2741 MONACAN ST APT 302
ALEXANDRIA, VA 22314-5826
Phone number: 469-713-4464
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Mailing Address
SHAVONNE GRAY MS, LPC
1934 OLD GALLOWS RD STE 210
VIENNA, VA 22182-4043
Phone number: 571-347-3607
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