| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MORGAN GRAY | 1770171266 | 2021-01-09 |
| Entity Type | Individual |
| Provider Name | Ms. Morgan Gray LCSW |
| Practice Office Address | 2000 N RACINE AVE # 3300 CHICAGO, IL US |
| Practice Office Telephone | 7734139523 |
| Mailing Address | 1415 W GREENLEAF AVE APT 3N CHICAGO, IL 606262884 US |
| Business Telephone | 8125981712 |
| Code | License No | State |
|---|---|---|
| 1041C0700X PRIMARY | 149.020405 | IL |