LESLIE GRAY

EAST HAZEL CREST, IL
NPI1982158184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-08-05
Last Update Date2016-08-05
Business Address
Mr. LESLIE GRAY
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429-1442
Phone number: 708-647-3331
Mailing Address
Mr. LESLIE GRAY
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429-1442
Phone number: 708-647-3331