Gray, Wyconda Denise
Gray, Wyconda Denise is an sole proprietor health care provider with primary practice located at 102 Medical Dr Ste Ab , Elizabeth City NC 27909-3361. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gray, Wyconda Denise can be contacted via phone (252) 335-0803.Contact Information
Primary practice address
102 Medical Dr Ste Ab
Elizabeth City NC 27909-3361
Phone: (252) 335-0803
Fax: (252) 331-1796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C010112 | North Carolina |
Profile Details
| NPI number | 1578991949 |
|---|---|
| LBN Legal business name | Gray, Wyconda Denise |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2013 |
| Last updated | Oct 12th, 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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