Gray, Jodi
Gray, Jodi is an individual health care provider with primary practice located at 61 S Main St Ste 214 , West Hartford CT 06107-2486. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gray, Jodi can be contacted via phone (860) 969-2399.Contact Information
Primary practice address
61 S Main St Ste 214
West Hartford CT 06107-2486
Phone: (860) 969-2399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Connecticut | |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 12686 | Connecticut |
Profile Details
| NPI number | 1235754169 |
|---|---|
| LBN Legal business name | Gray, Jodi |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2020 |
| Last updated | Feb 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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