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1972807246
THERESA GRAY
LOS ANGELES, CA
NPI
1972807246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-30
Last Update Date
2010-12-30
Business Address
Ms. THERESA GRAY
5012 S LA BREA AVE STE 2
LOS ANGELES, CA 90056-1863
Phone number: 323-290-0200
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Mailing Address
Ms. THERESA GRAY
5012 S LA BREA AVE STE 2
LOS ANGELES, CA 90056-1863
Phone number: 323-290-0200
Copy
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