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1467792317
SAMUEL CLYDE GRAY
AVON PARK, FL
NPI
1467792317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH 11620)
Enumeration Date
2013-02-28
Last Update Date
2013-02-28
Business Address
SAMUEL CLYDE GRAY MA, LMHC
2523 US HIGHWAY 27 S SUITE 130
AVON PARK, FL 33825-7744
Phone number: 863-452-0710
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Mailing Address
SAMUEL CLYDE GRAY MA, LMHC
1400 COUNTY ROAD 17A N LOT 64
AVON PARK, FL 33825-7739
Phone number: 863-257-2533
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