Individual
MARY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 DUPONT CIR STE 562, LOUISVILLE, KY 40207-4888
(502) 896-1850
Mailing address
4010 DUPONT CIR STE 562, LOUISVILLE, KY 40207-4888
(502) 896-1850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
3758
KY
Other
Enumeration date
06/10/2010
Last updated
08/07/2019
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