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1649538000
ALEXANDER C. GRAY
PROVO, UT
NPI
1649538000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6945916-3502)
Enumeration Date
2012-04-24
Last Update Date
2013-10-04
Business Address
Mr. ALEXANDER C. GRAY CSW
750 N FREEDOM BLVD SUITE 300
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
Mr. ALEXANDER C. GRAY CSW
750 N 200 W SUITE 300
PROVO, UT 84601-1677
Phone number: 801-373-4760
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