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1780953059
STEPHANIE L GRAY
DETROIT, MI
NPI
1780953059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-12-15
Last Update Date
2011-12-15
Business Address
Ms. STEPHANIE L GRAY
2888 W GRAND BLVD SUITE 360
DETROIT, MI 48202-2612
Phone number: 313-874-8702
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Mailing Address
Ms. STEPHANIE L GRAY
1 LAFAYETTE PLAISANCE ST APT 2110
DETROIT, MI 48207-2870
Phone number: 313-348-5459
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