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1629028675
GARY RUSSEL GRAY
LARGO, FL
NPI
1629028675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH 2804 FL)
Enumeration Date
2006-05-11
Last Update Date
2012-06-26
Business Address
MR. GARY RUSSEL GRAY MA, LMHC
1101 BELCHER RD S SUITE E
LARGO, FL 33771-3356
Phone number: 727-421-3014
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Mailing Address
MR. GARY RUSSEL GRAY MA, LMHC
2188 EISENHOWER DR
DUNEDIN, FL 34698-5633
Phone number: 727-421-3014
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