Provider Demographics
NPI:1558701656
Name:MARINI-GRAY, PATRICIA R (MSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:R
Last Name:MARINI-GRAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:306 LEOMINSTER RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:MA
Mailing Address - Zip Code:01564-2106
Mailing Address - Country:US
Mailing Address - Phone:774-200-4034
Mailing Address - Fax:
Practice Address - Street 1:306 LEOMINSTER RD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:MA
Practice Address - Zip Code:01564-2106
Practice Address - Country:US
Practice Address - Phone:774-200-4034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker