Individual
BRENDA JOYCE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
915 HIGHWAY 84 W, CARUTHERSVILLE, MO 63830-8113
(573) 333-5875
(573) 359-5876
Mailing address
915 HIGHWAY 84 W, CARUTHERSVILLE, MO 63830-8113
(573) 333-5875
(573) 333-5876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013037932
MO
Other
Enumeration date
11/14/2017
Last updated
10/30/2023
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