| Vanessa Gray, Lcsw, Llc | |
|
319 Clematis St Ste 204 West Palm Beach FL 33401-4615 | |
| (561) 614-2884 | |
| Not Available |
| Full Name | Vanessa Gray, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 319 Clematis St Ste 204, West Palm Beach, Florida |
| Authorized Official Name and Position | Vanessa Gray (SOLE MEMBER) |
| Authorized Official Contact | 5616142884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Gray, Lcsw, Llc 319 Clematis St Ste 204 West Palm Beach FL 33401-4615 Ph: (561) 614-2884 | Vanessa Gray, Lcsw, Llc 319 Clematis St Ste 204 West Palm Beach FL 33401-4615 Ph: (561) 614-2884 |
| NPI Number | 1144793449 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144793449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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