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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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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