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1720554736
TRENT R. GRAY
MERIDIAN, ID
NPI
1720554736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LCPC-6714)
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
MR. TRENT R. GRAY LCPC
403 W CHERRY LN
MERIDIAN, ID 83642-1610
Phone number: 208-887-1911
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Mailing Address
MR. TRENT R. GRAY LCPC
2254 N VIEWHILL AVE
MERIDIAN, ID 83646-3794
Phone number: 208-401-8229
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