Gray, Theresa
Gray, Theresa is an sole proprietor health care provider with primary practice located at 4595 Towne Lake Parkway Building 300, Suite 250, Woodstock GA 30189. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gray, Theresa can be contacted via phone (678) 592-5779.Contact Information
Primary practice address
4595 Towne Lake Parkway Building 300, Suite 250
Woodstock GA 30189
Phone: (678) 592-5779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Georgia |
Profile Details
| NPI number | 1619462132 |
|---|---|
| LBN Legal business name | Gray, Theresa |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2018 |
| Last updated | Jan 20th, 2020 - about 6 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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