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1811123813
VIRGINIA S GRAY
PLEASANTVILLE, NY
NPI
1811123813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-06-04
Last Update Date
2009-06-04
Business Address
-- VIRGINIA S GRAY
1075 BROADWAY BASEMENT ADMINISTRATION BUILDING
PLEASANTVILLE, NY 10570-2346
Phone number: 914-773-6179
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Mailing Address
-- VIRGINIA S GRAY
PO BOX 31094
HARTFORD, CT 06150-1094
Phone number: 518-952-8140
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